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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X93228 (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.