Individual
RAPHAEL BOUMAILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
37938 ABRAHAM ST, FREMONT, CA 94536-3834
(917) 952-9313
Mailing address
37938 ABRAHAM ST, FREMONT, CA 94536-3834
(917) 952-9313
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90527
CA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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