Individual
SUSAN CONNOR MCLOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
653 CHARLES ST, SANTA ROSA, CA 95404-5020
(707) 695-7518
Mailing address
653 CHARLES ST, SANTA ROSA, CA 95404-5020
(707) 695-7518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18375
CA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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