Destri, Mary

Destri, Mary is an sole proprietor health care provider with primary practice located at 1 Ebbtide Ave Apt B , Sausalito CA 94965-1367. She recently has only one registered license in Other Service Providers / Reflexologist, which is considered as her primary health care specialty. Destri, Mary can be contacted via phone (510) 316-2420.

Contact Information

Primary practice address
1 Ebbtide Ave Apt B Sausalito CA 94965-1367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X

Profile Details

NPI number 1730565763
LBN Legal business name Destri, Mary
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2015
Last updated Jul 31st, 2015 - about 9 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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