Individual
CONNIE MARIE LABEAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 ORANGE ST, REDLANDS, CA 92374-3205
(909) 792-0001
Mailing address
415 ORANGE ST, REDLANDS, CA 92374-3205
(909) 792-0001
(909) 792-0018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53083
CA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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