Individual
CHARITO NAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 ALDER ST, BROOKINGS, OR 97415-9014
(541) 813-1863
Mailing address
PO BOX 7351, BROOKINGS, OR 97415-0338
(408) 702-5145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26473
OR
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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