Individual
DONYELE EVYONNE WAKELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4343 46TH ST, SAN DIEGO, CA 92115-4324
(520) 329-2735
Mailing address
4343 46TH ST, SAN DIEGO, CA 92115-4324
(520) 329-2735
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8343
CA
Other
Enumeration date
09/03/2010
Last updated
07/31/2024
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