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Miss Ebonique Zanale Wilson
Massage Therapist in San Jose, California
NPI 1770181521

Ebonique Zanale Wilson is a Massage Therapist based in San Jose, CA. Ebonique Zanale Wilson practices in San Jose, CA. The NPI Number for Ebonique Zanale Wilson is 1770181521 and holds a License No. 12550 (California).

The current practice location address for Ebonique Zanale Wilson is 380 Vista Roma Way Unit 316, San Jose, CA and can be reached out via phone at 408-603-7012.

Location: 380 Vista Roma Way Unit 316, San Jose, CA, 95136-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770181521
Provider Name
Ebonique Zanale Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
380 Vista Roma Way Unit 316, San Jose, CA, 95136-4421
Phone Number
408-603-7012
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
380 Vista Roma Way Unit 316
City
San Jose
State
California
Zip
95136-4421
Phone Number
408-603-7012
Fax Number
person
Provider Business Mailing Address Details
Address
380 Vista Roma Way Unit 316
City
San Jose
State
California
Zip
95136-4421
Phone Number
408-603-7012
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12550 (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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