Individual
JENNIFER MARLENE DUBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1721 G CT, BANNING, CA 92220-1463
(951) 966-0547
Mailing address
1721 G CT, BANNING, CA 92220-1463
(951) 966-0547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88782
CA
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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