Individual
MAYRA LUPE JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17906 PIONEER BLVD STE 101-102, ARTESIA, CA 90701-3972
(562) 865-2222
Mailing address
17906 PIONEER BLVD STE 101-102, ARTESIA, CA 90701-3972
(562) 865-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
93768
CA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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