Individual
TIFFANIE ETTICE DRUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2076 WASHINGTON AVE, SAN LEANDRO, CA 94577-5829
(510) 757-8396
Mailing address
2076 WASHINGTON AVE, SAN LEANDRO, CA 94577-5829
(510) 408-8613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55647
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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