Individual
MS. JEAN DYER YOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
126 N CORRY ST, FORT BRAGG, CA 95437-3712
(831) 234-9629
Mailing address
126 N CORRY ST, FORT BRAGG, CA 95437-3712
(831) 234-9629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77352
CA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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