Individual
CRISTINA ELEANOR MENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 MAIN ST, FORTUNA, CA 95540-2228
(707) 815-9880
Mailing address
717 W CARSON ST, EUREKA, CA 95501-3563
(707) 815-9880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
65503
CA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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