Most Relevant Information
Provider Data
| NPI Number: | 1003214230 |
| Provider Name: | DESSISLAVA ISSAEVA CMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 59699 |
Most Important Dates
| Enumeration Date: | 12/22/2014 |
| Last Updated: | 12/22/2014 |
Provider Practice Location
1833 FILLMORE ST
SUITE 102-5
SAN FRANCISCO
CA
941153180
Practice Location Phone/Fax
| Phone: | 4158684347 |
| Fax: |
Provider Mailing Location
1833 FILLMORE ST
SUITE 102-5
SAN FRANCISCO
CA
941153180
Provider Mailing Phone/Fax
| Phone: | 4158684347 |
| Fax: |