Individual
MANDY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 FULTON AVE, SACRAMENTO, CA 95821-5101
(916) 973-9983
Mailing address
2721 FULTON AVE, SACRAMENTO, CA 95821-5101
(916) 973-9983
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47-4824771
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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