Individual
BERTA ALICIA ROMAN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 SONOMA AVE APT D, SANTA ROSA, CA 95404-4704
(707) 338-8741
Mailing address
865 SONOMA AVE APT D, SANTA ROSA, CA 95404-4704
(707) 338-8741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94787
CA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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