| Mayra Lupe Jacobo, | |
|
17906 Pioneer Blvd Ste 101-102, Artesia, CA 90701-3972 | |
| (562) 865-2222 | |
| Not Available |
| Full Name | Mayra Lupe Jacobo |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 17906 Pioneer Blvd Ste 101-102, Artesia, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659149292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 93768 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra Lupe Jacobo, 17906 Pioneer Blvd Ste 101-102, Artesia, CA 90701-3972 Ph: (562) 865-2222 | Mayra Lupe Jacobo, 17906 Pioneer Blvd Ste 101-102, Artesia, CA 90701-3972 Ph: (562) 865-2222 |
Mr. David Patrick Buono Jr., CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 11642 Artesia Blvd, Artesia, CA 90701 Phone: 562-964-0059 |
Vanessa Chavero, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 11939 167th St, Artesia, CA 90701 Phone: 562-712-4225 |