Alliss, Jessica Lynn

Alliss, Jessica Lynn is an individual health care provider with primary practice located at 57475 29 Palms Hwy Suite 101, Yucca Valley CA 92284-2906. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Alliss, Jessica Lynn can be contacted via phone (760) 365-9878.

Contact Information

Primary practice address
57475 29 Palms Hwy Suite 101 Yucca Valley CA 92284-2906
Phone: (760) 365-9878
Fax: (206) 309-0387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 10878 California

Profile Details

NPI number 1073808234
LBN Legal business name Alliss, Jessica Lynn
Credentials CMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073808234 NPPES
California Other 10878 CALIFORNIA MASSAGE THERAPY COUNCIL

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