Individual
JORDANNE PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1457 MARSH ST STE 200, SAN LUIS OBISPO, CA 93401-2994
(805) 635-4105
Mailing address
648 FRESNO AVE, MORRO BAY, CA 93442-2314
(805) 635-4105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87487
CA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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