Individual
MAE ROSE CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 BLOSSOM HILL RD STE 108, SAN JOSE, CA 95123-2704
(408) 475-8876
Mailing address
6822 MOSELLE DR, SAN JOSE, CA 95119-1846
(669) 234-0898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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