Miss Lacey Laverne Farah, ANMT | |
400 Summit Dr, Pinole, CA 94564-1625 | |
(707) 703-0997 | |
Not Available |
Full Name | Miss Lacey Laverne Farah |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 400 Summit Dr, Pinole, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902413685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 43394 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Lacey Laverne Farah, ANMT 400 Summit Dr, Pinole, CA 94564-1625 Ph: (707) 703-0997 | Miss Lacey Laverne Farah, ANMT 400 Summit Dr, Pinole, CA 94564-1625 Ph: (707) 703-0997 |
Verena Walper, PHD Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 Wright Ave, Pinole, CA 94564 Phone: 510-207-6519 | |
Kristin Gorton, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1685 San Pablo Ave, Pinole, CA 94564 Phone: 510-722-8436 |