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Individual

MICHELLE RENESE MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1756 W AVENUE J12 APT 205, LANCASTER, CA 93534-4654
(661) 670-4631
Mailing address
25876 THE OLD RD # 91, STEVENSON RANCH, CA 91381-1711
(661) 492-3757

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37598
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37598
CALIF MASSAGE THERAPY COUNCIL
CA
Enumeration date
10/31/2012
Last updated
02/09/2023
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