Individual
CHRISTOPHER CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E ST STE 311, SANTA ROSA, CA 95404-4607
(707) 478-2512
Mailing address
4145 SHADOW LN APT 437, SANTA ROSA, CA 95405-5254
(707) 478-2512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82136
CA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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