Individual
MALLORY ELIZABETH GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
141 BRANNAN ST, SAN FRANCISCO, CA 94107-2004
(415) 529-2762
Mailing address
1117 GEARY BLVD, APT 203, SAN FRANCISCO, CA 94109-6845
(707) 508-7449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15659
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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