Individual
TIAIRA NICOLE BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 JOANNE CT APT C, ROHNERT PARK, CA 94928-2718
(707) 848-0348
Mailing address
910 JOANNE CT APT C, ROHNERT PARK, CA 94928-2718
(707) 848-0348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
93331
CA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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