Individual
MS. JENNA WADSWORTH MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2072 ORCHARD DR, SUITE C, NEWPORT BEACH, CA 92660-0784
(949) 701-5709
Mailing address
2072 ORCHARD DR, SUITE C, NEWPORT BEACH, CA 92660-0784
(949) 701-5709
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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