Individual
CRISTENE ADEL JORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP, AWC
Contact information
Practice address
3200 US HIGHWAY 50 UNIT 5, SOUTH LAKE TAHOE, CA 96150-9207
(530) 517-0637
Mailing address
PO BOX 550018, SOUTH LAKE TAHOE, CA 96155-0018
(530) 517-0637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
CA
405300000X
Prevention Professional
Primary
—
CA
Other
Enumeration date
06/25/2018
Last updated
07/21/2022
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