Individual
MS. CONNIE ARLENE BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MT, DOULA
Contact information
Practice address
735 12TH ST, ARCATA, CA 95521-5865
(707) 845-5489
Mailing address
3620 F ST, EUREKA, CA 95503-5348
(707) 845-5489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894192
ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS (ABMP)
—
Enumeration date
03/30/2023
Last updated
03/30/2023
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