Individual
MS. JACKIE L GOREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL MASSAGE THER
Contact information
Practice address
8437 ELK GROVE FLORIN RD, ELK GROVE, CA 95624-9518
(916) 689-6726
Mailing address
9270 TAMERTON WAY, SACRAMENTO, CA 95829-9237
(916) 689-6726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
620879
CA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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