Individual
JACQUELINE JULISSA SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
28029 SARABANDE LN UNIT 1226, CANYON COUNTRY, CA 91387-5437
(818) 212-4869
Mailing address
28029 SARABANDE LN UNIT 1226, CANYON COUNTRY, CA 91387-5437
(818) 212-4869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82455
CAMTC
CA
Enumeration date
03/23/2020
Last updated
03/23/2020
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