Individual
RANDELLE JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8099 LA PLAZA, SUITE H, COTATI, CA 94931-4253
(707) 242-6812
Mailing address
1201 SAN RAFAEL DR, PETALUMA, CA 94954-5343
(707) 975-2764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
46213
CA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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