Most Relevant Information
Provider Data
| NPI Number: | 1003435991 |
| Provider Name: | JACQUELINE RANGEL LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 8424 |
Most Important Dates
| Enumeration Date: | 04/10/2020 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
4240 LATHAM ST STE C
RIVERSIDE
CA
925011741
Practice Location Phone/Fax
| Phone: | 9515466108 |
| Fax: |
Provider Mailing Location
13736 PECAN PL
MORENO VALLEY
CA
925535300
Provider Mailing Phone/Fax
| Phone: | 9515466108 |
| Fax: |