Miss Jacqueline Hernandez, MASSAGE THERAPIST | |
4925 Berryman Ave, Culver City, CA 90230-5111 | |
(323) 617-0430 | |
Not Available |
Full Name | Miss Jacqueline Hernandez |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 4925 Berryman Ave, Culver City, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538765904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 83731 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Jacqueline Hernandez, MASSAGE THERAPIST 4925 Berryman Ave, Culver City, CA 90230-5111 Ph: (323) 617-0430 | Miss Jacqueline Hernandez, MASSAGE THERAPIST 4925 Berryman Ave, Culver City, CA 90230-5111 Ph: (323) 617-0430 |
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