Individual
JENNIFER CIPOLLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6214
(949) 481-9113
Mailing address
24312 TIMOTHY DR, DANA POINT, CA 92629-1069
(650) 946-7026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
D4319040
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4319040
BUSINESS LICENSE
—
Enumeration date
03/06/2019
Last updated
03/30/2022
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