Individual
LAURA MARIE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9712 FAIR OAKS BLVD STE C5, FAIR OAKS, CA 95628-7032
(916) 308-1228
Mailing address
7511 FAIRWAY TWO AVE APT O9712, FAIR OAKS, CA 95628-4672
(916) 308-1229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37527
CA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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