Individual
MELANIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
157 HERLONG AVE, SAN JOSE, CA 95123-3716
(408) 772-5633
Mailing address
157 HERLONG AVE, SAN JOSE, CA 95123-3716
(408) 772-5633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6325
CA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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