Individual
JESSICA RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
535 BUENA VISTA AVE, ALAMEDA, CA 94501-2079
(910) 617-1663
Mailing address
535 BUENA VISTA AVE, ALAMEDA, CA 94501-2079
(910) 617-1663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13606
CA
225700000X
Massage Therapist
13606
NC
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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