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MARY DESTRI MASSAGE THERAPIST

>> Reflexologist >> Other Service Providers

Registrant NPI Number: 1730565763

Individual Registrant:
 MARY  DESTRI MASSAGE THERAPIST
Gender: F
Sole Proprietor

Location and contact information for practice:
1 EBBTIDE AVE APT B  SAUSALITO, CA 94965-1367 US
Tel: 510-316-2420  Fax: --

Contact information for business:
1 EBBTIDE AVE APT B  SAUSALITO, CA 94965-1367 US
Tel: 510-316-2420  Fax: --

Registration Information:
NPI: 1730565763
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y173C00000XOther Service Providers
Reflexologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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