Individual
MISS BRANDY CELESTE MALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
701 OCEAN VIEW BLVD, PACIFIC GROVE, CA 93950-2227
(831) 521-7952
Mailing address
701 OCEAN VIEW BLVD, PACIFIC GROVE, CA 93950-2227
(831) 521-7952
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85594
CAMTC
CA
Enumeration date
12/31/2020
Last updated
12/31/2020
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