MS. Jeanelle Diaz, CMT
NPI #1023368149 in San Bruno, California
Provider Information
- NPI Number
- 1023368149
- Entity Type
- Individual
- Name
- MS. Jeanelle Diaz, CMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- CMT
- Enumeration Date
- Sep 17, 2012
- Last Updated
- Sep 17, 2012
Practice Location
- Address
- 654 JENEVEIN AVE
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-4230
- Phone
- (650) 877-0999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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