Individual
MS. SHIRLEY M BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
7929 VALLEY GREEN DR, SACRAMENTO, CA 95823-5232
(916) 730-9383
Mailing address
7929 VALLEY GREEN DRIVE, SACRAMENTO, CA 95823
(916) 730-9383
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
622284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62284
CERTIFIED MASSAGE THERAPI
CA
Enumeration date
04/03/2007
Last updated
07/08/2007
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