Organization
COMPLETE THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CIPOLLONE (OWNER)
(650) 946-7026
Entity
Organization
Contact information
Practice address
1225 CRANE ST STE 202, MENLO PARK, CA 94025-4253
(650) 823-4321
Mailing address
1225 CRANE ST STE 202, MENLO PARK, CA 94025-4253
(650) 823-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4319040
BUSINESS LICENSE
—
Enumeration date
03/06/2019
Last updated
03/06/2019
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