Ebonee'S Massage Mecca
Massage Therapist in Stockton, CA. Organization (NPI-2).
NPI number1639629355
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1639629355
- Entity type
- Organization (NPI-2)
- Legal business name
- Ebonee'S Massage Mecca
- Organization subpart
- No
- Enumeration date
- Oct 5, 2016
- Last updated
- Oct 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 482 | CA | Yes |
Practice location
1150 W Robinhood DrSuite 5a
Stockton, CA 95207-5624
Phone 209-910-0226
Mailing address
1150 W Robinhood DrSuite 5a
Stockton, CA 95207-5624
Phone 209-910-0226
Authorized official
Ebonee Taylor
Owner
2099100226
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