Individual
JENISE JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29562 PALO DR, LAGUNA NIGUEL, CA 92677-1810
(949) 324-3775
Mailing address
29562 PALO DR, LAGUNA NIGUEL, CA 92677-1810
(949) 324-3775
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16365
CA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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