Individual
CAROLYN JAUCOTROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
2059 CLINTON AVE, ALAMEDA, CA 94501-4379
(510) 865-1553
Mailing address
2059 CLINTON AVE, ALAMEDA, CA 94501-4379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53983
CA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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