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NPI Code Detail

MEDICARE: CHERIE ROYELLE HARPER

MEDICARE:   CHERIE ROYELLE HARPER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist702685CA

General Provider Information

NPI Number : 1750161477
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERIE ROYELLE HARPER
Provider Business Mailing Address
First Line : 201 13TH ST # 1374
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3921
Country : US
Telephone Number : 510-290-3370
Fax Number :
Provider Business Practice Location Address
First Line : 1211 EMBARCADERO STE D
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5117
Country : US
Telephone Number : 510-290-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ CHERIE ROYELLE HARPER ” Practice Location

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