Individual
JATAE JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
953 E JONES ST APT 214, SANTA MARIA, CA 93454-6358
(805) 868-8309
Mailing address
953 E JONES ST APT 214, SANTA MARIA, CA 93454-6358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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