Individual
MALLORY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 WASHINGTON ST, COALINGA, CA 93210-1643
(559) 404-9654
Mailing address
193 WASHINGTON ST, COALINGA, CA 93210-1643
(559) 404-9654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96063
CA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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