Individual
JESSICA FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 WILDROSE LN, CRESTLINE, CA 92325-9379
(909) 654-7502
Mailing address
PO BOX 4012, CRESTLINE, CA 92325-4012
(909) 362-0738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81056
CA
Other
Enumeration date
10/15/2021
Last updated
04/12/2022
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