| Moon Leaf Derosier, CMT | |
|
5960b West Mall, Atascadero, CA 93422-4232 | |
| (415) 706-6397 | |
| Not Available |
| Full Name | Moon Leaf Derosier |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 5960b West Mall, Atascadero, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043663438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 10405 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Leaf Derosier, CMT Po Box 4273, Paso Robles, CA 93447-4273 Ph: (415) 706-6397 | Moon Leaf Derosier, CMT 5960b West Mall, Atascadero, CA 93422-4232 Ph: (415) 706-6397 |
Mrs. Niki Marie Torres, CMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Traffic Way, Atascadero, CA 93422 Phone: 805-610-6412 | |
Jaclyn Joyner, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 Morro Rd, Atascadero, CA 93422 Phone: 714-855-0511 | |
Dori Dueck, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5960 West Mall # B, Atascadero, CA 93422 Phone: 805-714-9620 | |
Kimberly Wallace, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8780 Old Santa Rosa Rd, Atascadero, CA 93422 Phone: 805-952-3818 |