Individual
LAURA MOOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3275 FORTUNE CT, AUBURN, CA 95602-7847
(530) 305-8793
Mailing address
PO BOX 603, APPLEGATE, CA 95703-0603
(530) 305-8793
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47921
CA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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