Healthcare Provider Details

I. General information

NPI: 1023929577
Provider Name (Legal Business Name): MRS. DAURA LEE PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 GARDEN RD STE B6C
MONTEREY CA
93940-5316
US

IV. Provider business mailing address

1524 LUZERN ST
SEASIDE CA
93955-5125
US

V. Phone/Fax

Practice location:
  • Phone: 831-224-3182
  • Fax:
Mailing address:
  • Phone: 831-224-3182
  • Fax: 831-899-3353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number18898
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: