Individual
JESS MARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1533 SHATTUCK AVE, BERKELEY, CA 94709-1516
(415) 683-0532
Mailing address
1533 SHATTUCK AVE, BERKELEY, CA 94709-1516
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37980
CA
Other
Enumeration date
09/18/2014
Last updated
09/17/2015
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