MISS Lacey Laverne Farah, ANMT
NPI #1902413685 in Pinole, California
Provider Information
- NPI Number
- 1902413685
- Entity Type
- Individual
- Name
- MISS Lacey Laverne Farah, ANMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- ANMT
- Enumeration Date
- Sep 28, 2020
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 400 SUMMIT DR
- City
- Pinole
- State
- California
- ZIP Code
- 94564-1625
- Phone
- (707) 703-0997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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