Individual
MRS. BREANNA LEIGH GIESEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1690 WISHING WELL WAY, SANTA ROSA, CA 95403-1890
(707) 872-7330
Mailing address
1690 WISHING WELL WAY, SANTA ROSA, CA 95403-1890
(707) 872-7330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26898
CA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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