Individual
PASCALE THEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
508 TRUMPETER DR, SUISUN CITY, CA 94585-2934
(754) 304-8534
Mailing address
508 TRUMPETER DR, SUISUN CITY, CA 94585-2934
(754) 304-8534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71167
CALIFORNIA MASSAGE THERAPY ASSOCIATION
CA
Enumeration date
05/04/2022
Last updated
05/04/2022
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