Individual
MRS. LAUREEN ANN FANUCCHI RACUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
60 N EL CAMINO REAL, SUITE C, SAN MATEO, CA 94401
(650) 344-8499
(650) 344-8499
Mailing address
60 N EL CAMINO REAL, SUITE C, SAN MATEO, CA 94401
(650) 344-8499
(650) 344-8499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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