Moon Leaf Derosier, CMT | |
5960b West Mall, Atascadero, CA 93422-4232 | |
(415) 706-6397 | |
Not Available |
Full Name | Moon Leaf Derosier |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5960b West Mall, Atascadero, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043663438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 10405 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Moon Leaf Derosier, CMT Po Box 4273, Paso Robles, CA 93447-4273 Ph: (415) 706-6397 | Moon Leaf Derosier, CMT 5960b West Mall, Atascadero, CA 93422-4232 Ph: (415) 706-6397 |
Jaclyn Joyner, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 Morro Rd, Atascadero, CA 93422 Phone: 714-855-0511 | |
Dori Dueck, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5960 West Mall # B, Atascadero, CA 93422 Phone: 805-714-9620 |