Individual
MARY DESTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1 EBBTIDE AVE APT B, SAUSALITO, CA 94965-1367
(510) 316-2420
Mailing address
1 EBBTIDE AVE APT B, SAUSALITO, CA 94965-1367
(510) 316-2420
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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