Organization
INNER LIGHT HOUSE LLC
Active
Parent organization
INNER LIGHT HOUSE LLC
Other names
Brenda Bradshaw Csonka
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNER LIGHT HOUSE LLC
Authorized official
BRENDA BRADSHAW CSONKA MASSAGE THERAPIST (OWNER)
(352) 494-7092
Entity
Organization
Contact information
Practice address
325 N WIGET LN, SUITE 130, WALNUT CREEK, CA 94598-2435
(925) 935-5425
Mailing address
29 EASTBROOK CT, CLAYTON, CA 94517-1019
(352) 494-7092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00024621
WA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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