Individual
ERNESTINE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8755 AERO DR STE 225, SAN DIEGO, CA 92123-1750
(619) 514-6660
Mailing address
5663 BALBOA AVE # 484, SAN DIEGO, CA 92111-2705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79819
CA
Other
Enumeration date
03/28/2021
Last updated
01/11/2024
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