Individual provider · Type 1 NPI
Ajaloni Kenjanae Irvin
Massage Therapist · San Leandro, CA
NPI number
1366135246
Active
Practice location
13847 E 14th St Ste 216
San Leandro, CA 94578-2626
Mailing address
5130 Congress Ave
Oakland, CA 94601-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 93228 (CA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1366135246
Ajaloni Kenjanae Irvin's National Provider Identifier is 1366135246, issued on May 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Leandro, CA. The record was last updated on May 29, 2023.