Individual
DIJONAE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 EMBARCADERO, OAKLAND, CA 94606-5119
(510) 798-2717
Mailing address
2000 9TH AVE APT 3, OAKLAND, CA 94606-2645
(510) 798-2717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85950
CA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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