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NPI Code Detail

MEDICARE: PAULENE HARRELL CMT

MEDICARE: PAULENE HARRELL CMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistCA

General Provider Information

NPI Number : 1326481581
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULENE HARRELL CMT
Provider Business Mailing Address
First Line : 828 INNES AVE APT 107
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94124-2911
Country : US
Telephone Number : 415-824-0220
Fax Number : 415-824-0220
Provider Business Practice Location Address
First Line : 1501 MARIPOSA ST STE 318
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94107-2367
Country : US
Telephone Number : 415-255-2252
Fax Number : 415-255-2258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 04/08/2013

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Directions to “ PAULENE HARRELL CMT” Practice Location

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