Individual
JAYLEEN MICHELLE IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7624 PAINTER AVE STE 200, WHITTIER, CA 90602-2328
(562) 789-8661
Mailing address
PO BOX 9309, WHITTIER, CA 90608-9309
(562) 789-8661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95132
CA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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