Individual
SHERRI MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 GIBSON DRIVE,, STE 290, ROSEVILLE, CA 95678
(916) 947-3388
Mailing address
508 GIBSON DRIVE,, STE 290, ROSEVILLE, CA 95678
(916) 947-3388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00822578
CA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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