Organization
MALISSAMASSAGESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA MARIE EDWARDS (OWNER)
(925) 529-5840
Entity
Organization
Contact information
Practice address
305 COVENTRY CIR, BRENTWOOD, CA 94513-2792
(925) 529-5840
Mailing address
305 COVENTRY CIR, BRENTWOOD, CA 94513-2792
(925) 529-5840
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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