Individual
STACEY CRIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8680 GREENBACK LN, STE. 110, ORANGEVALE, CA 95662-3969
(916) 988-3379
Mailing address
8680 GREENBACK LN, STE. 110, ORANGEVALE, CA 95662-3969
(916) 988-3379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60900
CA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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