| Jacquelyn Fanno, CMT | |
|
18630 Burbank Blvd Apt 209, Tarzana, CA 91356-2660 | |
| (818) 514-5728 | |
| Not Available |
| Full Name | Jacquelyn Fanno |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 18630 Burbank Blvd Apt 209, Tarzana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811646433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 25356 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Fanno, CMT 18630 Burbank Blvd Apt 209, Tarzana, CA 91356-2660 Ph: (239) 404-9742 | Jacquelyn Fanno, CMT 18630 Burbank Blvd Apt 209, Tarzana, CA 91356-2660 Ph: (818) 514-5728 |
Mrs. Joselin Elizabeth Carranza, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18840 Ventura Blvd Ste 204, Tarzana, CA 91356 Phone: 818-708-3333 Fax: 818-708-9643 | |
Jason Villalobos, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5444 Yolanda Ave Ste 210, Tarzana, CA 91356 Phone: 310-598-1533 | |
Natthanan Thirarutnalinthana, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18910 Ventura Blvd, Tarzana, CA 91356 Phone: 619-964-5169 |