Jacquelyn Fanno, CMT | |
18630 Burbank Blvd Apt 209, Tarzana, CA 91356-2660 | |
(818) 514-5728 | |
Not Available |
Full Name | Jacquelyn Fanno |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 18630 Burbank Blvd Apt 209, Tarzana, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811646433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 25356 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Fanno, CMT 18630 Burbank Blvd Apt 209, Tarzana, CA 91356-2660 Ph: (239) 404-9742 | Jacquelyn Fanno, CMT 18630 Burbank Blvd Apt 209, Tarzana, CA 91356-2660 Ph: (818) 514-5728 |
Jason Villalobos, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5444 Yolanda Ave Ste 210, Tarzana, CA 91356 Phone: 310-598-1533 | |
Natthanan Thirarutnalinthana, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18910 Ventura Blvd, Tarzana, CA 91356 Phone: 619-964-5169 |