Individual
JENNIFER LEANNE DEPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
814 43RD AVE, SAN FRANCISCO, CA 94121-3304
(619) 254-6213
Mailing address
814 43RD AVE, SAN FRANCISCO, CA 94121-3304
(619) 254-6213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53687
CA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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