Individual
LORI REBA VAUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMTHE, MFT
Contact information
Practice address
219 YOSEMITE AVE, MADERA, CA 93638
(559) 706-0341
Mailing address
219 YOSEMITE AVE, MADERA, CA 93638
(559) 706-0341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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