Individual
IRIA D WOLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
618 BLOSSOM HILL RD, SUITE 201, SAN JOSE, CA 95123-3048
(408) 475-8876
Mailing address
618 BLOSSOM HILL RD, SUITE 201, SAN JOSE, CA 95123-3048
(408) 475-8876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27996
CA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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