Individual
STEPHANIE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5460 RATTLESNAKE BAR RD, PILOT HILL, CA 95664
(530) 444-0721
Mailing address
PO BOX 241, COOL, CA 95614-0241
(530) 444-0721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63739
CA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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