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Individual

LEILA BERYL THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.M.T.

Contact information

Practice address
1734 NAPA ST, VALLEJO, CA 94590-4463
(805) 403-6672
Mailing address
1734 NAPA ST, VALLEJO, CA 94590-4463
(805) 403-6672

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15541
CA

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
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