Individual
THECLA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
870 MARKET ST, SAN FRANCISCO, CA 94102-3099
(510) 629-0098
Mailing address
4529 THOMPSON ST, OAKLAND, CA 94601-4742
(510) 629-0098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13921
CA
Other
Enumeration date
10/03/2020
Last updated
10/13/2023
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