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Individual

TAMARA M PRAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMP

Contact information

Practice address
633 LINCOLN CTR, STOCKTON, CA 95207-2642
(209) 298-8756
Mailing address
633 LINCOLN CTR, STOCKTON, CA 95207-2642
(209) 298-8756

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
26328
CA
374J00000X
Doula
Primary

Other

Enumeration date
12/30/2011
Last updated
12/30/2011
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