Individual
VITA KOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8327 FAIR OAKS BLVD APT 29, CARMICHAEL, CA 95608-1958
(415) 966-5383
Mailing address
8327 FAIR OAKS BLVD APT 29, CARMICHAEL, CA 95608-1958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03070
CA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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