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Organization
MAYA'S MASSAGE INC.
Active
Organization
MAYA'S MASSAGE INC.
Active
Other names
Maya's Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYA NICHOLLS CMT (PRESIDENT)
(415) 342-1345
Entity
Organization
Contact information
Practice address
1955 DOGWOOD DR, SANTA ROSA, CA 95403-1577
(415) 342-1345
Mailing address
860 PETALUMA BLVD N, SUITE E, PETALUMA, CA 94952-2146
(415) 342-1345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16356
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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