Individual
MARY GAIL Y CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAMTC
Contact information
Practice address
1211 EMBARCADERO STE D, OAKLAND, CA 94606-5117
(408) 548-0576
Mailing address
753 WALKER AVE, OAKLAND, CA 94610-2736
(408) 548-0576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2219
CA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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