Individual
JANACIE MORRIS CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3205 ROEDING RD, CERES, CA 95307-9403
(209) 568-5918
Mailing address
3205 ROEDING RD, CERES, CA 95307-9403
(209) 568-5918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81114
CA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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