Individual
MRS. CHARLENE A. HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BARROILHET AVE, SAN MATEO, CA 94401-3704
(650) 483-2084
Mailing address
PO BOX 387, BURLINGAME, CA 94011-0387
(650) 483-2084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
65517
CA
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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