Individual
MS. STACY SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
103 MORRIS ST STE V, SEBASTOPOL, CA 95472
(707) 874-8818
Mailing address
103 MORRIS ST STE V, SEBASTOPOL, CA 95472-3864
(707) 874-8818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8831
CA
Other
Enumeration date
02/22/2016
Last updated
08/05/2019
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