| NPI | 1366862385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA MALLEN JAGNE Massage Therapist 619-357-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 48285) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |