MISS Jacqueline Hernandez, MASSAGE THERAPIST
NPI #1538765904 in Culver City, California
Provider Information
- NPI Number
- 1538765904
- Entity Type
- Individual
- Name
- MISS Jacqueline Hernandez, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Dec 9, 2020
- Last Updated
- Dec 9, 2020
Practice Location
- Address
- 4925 BERRYMAN AVE
- City
- Culver City
- State
- California
- ZIP Code
- 90230-5111
- Phone
- (323) 617-0430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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