Organization
CARPE DIEM, MASSAGE AND SKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARAE IRWIN C.M.T. (OWNER/CMT)
(707) 763-1526
Entity
Organization
Contact information
Practice address
35 MARIA DR, SUITE 850, PETALUMA, CA 94954-3548
(707) 763-1526
Mailing address
35 MARIA DR, SUITE 850, PETALUMA, CA 94954-3548
(707) 763-1526
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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