Individual
AUDREY MOLONY-BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
569 PETALUMA AVE, SEBASTOPOL, CA 95472-4219
(707) 494-1680
Mailing address
569 PETALUMA AVE APT 130, SEBASTOPOL, CA 95472-4227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84357
CA
Other
Enumeration date
12/09/2024
Last updated
01/04/2025
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