Individual
SAMSON AYELE NEGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12579 BOUGAINVILLEA WAY, RIVERSIDE, CA 92503-7023
(909) 856-5134
Mailing address
12579 BOUGAINVILLEA WAY, RIVERSIDE, CA 92503-7023
(909) 856-5134
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25716
CA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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