Individual
RUBEN DAVID WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3264 RAINFOREST DR, RIVERSIDE, CA 92503-0824
(352) 573-7207
Mailing address
3264 RAINFOREST DR, RIVERSIDE, CA 92503-0824
(352) 573-7207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77613
CA
Other
Enumeration date
09/04/2020
Last updated
09/05/2020
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