Individual
MS. JANESE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 GREENWICH ST, PETALUMA, CA 94954-8541
(707) 718-7800
Mailing address
506 GREENWICH ST, PETALUMA, CA 94954-8541
(707) 718-7800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75892
CA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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