Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 51131 | CA |
NPI | 1003266925 |
---|---|
Provider Name | Mrs. Alexandrea Brown |
First Address | San Francisco, CA 94107-1123 |
Second Address | San Francisco, CA 94107-1123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2016 |
Last Update Date | 21/06/2016 |