Individual
NADINE A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4335 VINELAND AVE APT 222, STUDIO CITY, CA 91602-3430
(617) 272-5294
Mailing address
4335 VINELAND AVE APT 222, STUDIO CITY, CA 91602-3430
(617) 272-5294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78135
CA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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