Jason Scully

NPI #1073111886 in Fairfield, California

Provider Information

NPI Number: 1073111886
Entity Type: Individual
Name: Jason Scully
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 871 SUNSET CT
City: Fairfield
State: California
ZIP Code: 94533-4145
Phone: (707) 971-6649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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