Jolene Deciutiis, HHP
Massage Therapist in Carlsbad, CA. Individual provider (NPI-1).
NPI number1053643114
StatusActive
Last updated in NPPESJan 31, 2010
Details
- NPI
- 1053643114
- Entity type
- Individual (NPI-1)
- Name
- Jolene Deciutiis
- Credential
- HHP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2010
- Last updated
- Jan 31, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | CA | Yes |
Practice location
2740 Roosevelt StCarlsbad, CA 92008-2385
Phone 760-822-1587
Mailing address
1605 Wesley WayVista, CA 92081-7458
Phone 760-822-1587
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