Individual
JENNA RENEE GILLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28403 BOULDER DR, TRABUCO CANYON, CA 92679-1161
(951) 746-0262
Mailing address
28403 BOULDER DR, TRABUCO CANYON, CA 92679-1161
(951) 746-0262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
100430
CA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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