NPI 1659149292

Mayra Lupe Jacobo

Practitioner Massage Therapist Artesia, CA

Practice location

Address: 17906 Pioneer Blvd STE 101-102, Artesia, CA 90701-3972
Phone: (562) 865-2222

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 93768 (CA)

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Registry record

NPI: 1659149292
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2023
Record last updated: 13 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.