Organization
BENJAMIN TIFFANY
Active
Other names
Healing Balm Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TIFFANY CMT (OWNER)
(231) 342-8483
Entity
Organization
Contact information
Practice address
20601 WEST PAOLI LANE, WEIMAR, CA 95736
(231) 342-8483
Mailing address
PO BOX 486, WEIMAR, CA 95736-0486
(231) 342-8483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37419
CA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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