Individual
DENISE LEANN FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 S FOWLER LN, MOUNTAIN HOUSE, CA 95391-1409
(925) 322-2348
Mailing address
1076 S FOWLER LN, MOUNTAIN HOUSE, CA 95391-1409
(510) 468-4249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94560
CA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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