Individual
MS. LANI CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
5856 MOTHER LODE DR, SUITE 2, PLACERVILLE, CA 95667-8203
(530) 621-4110
(530) 621-4116
Mailing address
PO BOX 108, EL DORADO, CA 95623-0108
(530) 621-4110
(530) 621-4116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17703
CA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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