| |
20601 West Paoli Lane, Weimar, CA 95736 | |
(231) 342-8483 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 20601 West Paoli Lane, Weimar, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1356688329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225700000X | Massage Therapist | 37419 (California) | Primary |
Mailing Address | Practice Location Address |
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Po Box 486, Weimar, CA 95736-0486 Ph: (231) 342-8483 | 20601 West Paoli Lane, Weimar, CA 95736 Ph: (231) 342-8483 |