Individual
CERISE MICHELLE LACORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC, CMT
Contact information
Practice address
151 N SUNRISE AVE STE 1016, ROSEVILLE, CA 95661-2930
(916) 956-2181
Mailing address
151 N SUNRISE AVE STE 1016, ROSEVILLE, CA 95661-2930
(916) 956-2181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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