Individual
JEANNE CHRISTOHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2647 RAFAEL ST, CHICO, CA 95973-1161
(530) 828-4464
Mailing address
2647 RAFAEL ST, CHICO, CA 95973-1161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15-051620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-051620
—
CA
Enumeration date
02/01/2024
Last updated
02/01/2024
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