Individual
JACQUELINE MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1275 E F ST, OAKDALE, CA 95361-4140
(209) 601-2307
Mailing address
PO BOX 1127, OAKDALE, CA 95361-1127
(209) 601-2307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1329321
CA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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