Individual
LEAH DAWN SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
15960 18TH AVE, LEMOORE, CA 93245-9742
(559) 904-6428
Mailing address
15960 18TH AVE, LEMOORE, CA 93245-9742
(559) 904-6428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82524
CA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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