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Jordan Elizabeth Rice, Certified

Massage Therapist in Alpine, CA. Individual provider (NPI-1).

NPI number1073128294
StatusActive
Last updated in NPPESSep 14, 2020

Details

NPI
1073128294
Entity type
Individual (NPI-1)
Name
Jordan Elizabeth Rice
Credential
Certified
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2020
Certification date
Sep 14, 2020
Last updated
Sep 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist72403CAYes

Practice location

1717 Roble Grande Rd
Alpine, CA 91901-3024

Phone 619-917-6249

Mailing address

1717 Roble Grande Rd
Alpine, CA 91901-3024

Phone 619-917-6249

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