Healthcare Provider Details

I. General information

NPI: 1336928951
Provider Name (Legal Business Name): MARQUESA MARIE HOBSON-JONES CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7915 LAGUNA BLVD STE 100
ELK GROVE CA
95758-7945
US

IV. Provider business mailing address

7915 LAGUNA BLVD STE 100
ELK GROVE CA
95758-7945
US

V. Phone/Fax

Practice location:
  • Phone: 916-943-9646
  • Fax:
Mailing address:
  • Phone: 916-943-9646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number90145
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: