Individual
TOBI LESSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 SHERMAN AVE, NOVATO, CA 94945-3244
(707) 625-4163
(707) 625-4163
Mailing address
920 SHERMAN AVENUE, NOVATO, CA 94945
(707) 625-4163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-2940585
CITY
CA
01
—
81-2940585
CITY OF SAN RAFAEL
—
Enumeration date
09/15/2017
Last updated
09/15/2017
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