Individual
JILL FIELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
408 PERSHING DR, PLAYA DEL REY, CA 90293-7742
(843) 450-7301
Mailing address
408 PERSHING DR, PLAYA DEL REY, CA 90293-7742
(843) 450-7301
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75782
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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