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Individual

LUISANA RAMOS BAPTISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
817 COFFEE RD STE D, MODESTO, CA 95355-4241
(209) 527-6100
Mailing address
817 COFFEE RD STE D, MODESTO, CA 95355-4241
(209) 527-6100

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22544
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22544
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
02/12/2013
Last updated
02/12/2013
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