Individual
ELIZABETH MARIE RISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LA CASA VIA STE 110, WALNUT CREEK, CA 94598-3047
(925) 476-5379
Mailing address
8132 WALNUT GROVE CT, OAKLEY, CA 94561
(650) 740-5137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
39532
CA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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