Individual
CASSIE BOURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4295 GESNER ST STE 3K, SAN DIEGO, CA 92117-6646
(619) 400-7049
Mailing address
4295 GESNER ST STE 3K, SAN DIEGO, CA 92117-6646
(619) 400-7049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76356
CA
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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