Individual
JENNIFER L BENORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2041 BANCROFT WAY STE 303, BERKELEY, CA 94704-1406
(650) 796-1924
Mailing address
6103 PLYMOUTH AVE, RICHMOND, CA 94805-1205
(650) 796-1924
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86084
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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