Individual
MALISSA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 TRILOGY PKWY, BRENTWOOD, CA 94513-6731
(925) 809-7171
Mailing address
2154 BRIDGEPORT LOOP, DISCOVERY BAY, CA 94505-2323
(925) 529-5840
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
72756
CA
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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