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Individual

MRS. SHAKIRA M BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
1095 STAFFORD WAY STE C, YUBA CITY, CA 95991-3333
(530) 671-4616
(530) 671-6062
Mailing address
1095 STAFFORD WAY STE C, YUBA CITY, CA 95991-3333
(530) 671-4616
(530) 671-6062

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62894
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62894
STATE LICENSE
CA
Enumeration date
02/02/2015
Last updated
02/02/2015
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