Organization
EBONEE'S MASSAGE MECCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONEE TAYLOR LMT (OWNER)
(209) 910-0226
Entity
Organization
Contact information
Practice address
1150 W ROBINHOOD DR, SUITE 5A, STOCKTON, CA 95207-5624
(209) 910-0226
Mailing address
1150 W ROBINHOOD DR, SUITE 5A, STOCKTON, CA 95207-5624
(209) 910-0226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
482
CA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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