Individual
JULIE LYNNE CREIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1520 RACQUET CLUB DR, LOS BANOS, CA 93635-3840
(209) 675-2516
Mailing address
945 GRANADA CIR, LOS BANOS, CA 93635-3951
(209) 675-2516
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25220
CA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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