LACEY LAVERNE FARAH

PINOLE, CA
NPI1902413685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CA  43394)
Enumeration Date2020-09-28
Last Update Date2024-09-24
Business Address
Miss LACEY LAVERNE FARAH ANMT
400 SUMMIT DR
PINOLE, CA 94564-1625
Phone number: 707-703-0997
Mailing Address
Miss LACEY LAVERNE FARAH ANMT
400 SUMMIT DR
PINOLE, CA 94564-1625
Phone number: 707-703-0997
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