Individual
JEANETTE H SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10328 ELIZABETH AVE, SOUTH GATE, CA 90280-5914
(415) 666-6263
Mailing address
10328 ELIZABETH AVE, SOUTH GATE, CA 90280-5914
(415) 666-6263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
66235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66235
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
05/05/2022
Last updated
05/05/2022
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