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Individual

MS. SARAH MARIE WHITESIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.B.T.

Contact information

Practice address
35 ROLLING OAKS DR., THOUSAND OAKS, CA 91361
(805) 230-1199
(805) 230-2134
Mailing address
500 W GAINSBOROUGH RD, THOUSAND OAKS, CA 91360-2432
(828) 279-1050

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1113803
CA
225700000X
Massage Therapist
4741
NC

Other

Enumeration date
05/23/2011
Last updated
05/23/2011
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