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Ms. Jenniese White, LMT
Massage Therapist in Port Costa, California
NPI 1538889118

Jenniese White is a Massage Therapist based in Port Costa, CA. Jenniese White practices in Port Costa, CA and has the professional credentials of LMT. The NPI Number for Jenniese White is 1538889118 and holds a License No. 22654 (California).

The current practice location address for Jenniese White is 11 Canyon Lake Dr, Port Costa, CA and can be reached out via phone at 415-279-3410.

Location: 11 Canyon Lake Dr, Port Costa, CA, 94569-0123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538889118
Provider Name
Jenniese White
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
11 Canyon Lake Dr, Port Costa, CA, 94569-0123
Phone Number
415-279-3410
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Canyon Lake Dr
City
Port Costa
State
California
Zip
94569-1003
Phone Number
415-279-3410
Fax Number
person
Provider Business Mailing Address Details
Address
11 Canyon Lake Dr
City
Port Costa
State
California
Zip
94569-1003
Phone Number
415-279-3410
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
22654 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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