Mayra Lupe Jacobo

NPI #1659149292 in Artesia, California

Provider Information

NPI Number: 1659149292
Entity Type: Individual
Name: Mayra Lupe Jacobo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Dec 13, 2023
Last Updated: Dec 13, 2023

Practice Location

Address: 17906 PIONEER BLVD STE 101-102
City: Artesia
State: California
ZIP Code: 90701-3972
Phone: (562) 865-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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