Individual
IRENE AMMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1403 5TH ST, SUITE B, DAVIS, CA 95616-3900
(707) 480-1567
Mailing address
1330 ANTELOPE AVE APT 30, DAVIS, CA 95616-5597
(707) 480-1567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CMT #60412
CA
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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