Individual
CASSONDRA JOANNE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
11439 MAGNOLIA AVE APT 160, RIVERSIDE, CA 92505-4895
(909) 225-3067
Mailing address
11439 MAGNOLIA AVE APT 160, RIVERSIDE, CA 92505-4895
(909) 225-3067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79657
CA
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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