Individual
GRACE TEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SEAPORT CT STE 103, REDWOOD CITY, CA 94063-5574
(650) 260-4655
Mailing address
286 EL BOSQUE AVE, SAN JOSE, CA 95134-1605
(510) 862-2219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41828
CA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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