Individual
LESLEE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.P., C.M.T.
Contact information
Practice address
1647 HARTNELL AVE, SUITE 5,, REDDING, CA 96002-2268
(530) 339-1910
Mailing address
5305 PINE GROVE AVE, SHASTA LAKE, CA 96019-2310
(530) 339-1910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
894262
CA
Other
Enumeration date
12/21/2015
Last updated
12/28/2015
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