Individual
NATALEIGH R DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 KOHLER CT, SANTA ROSA, CA 95404-5113
(707) 480-3381
(256) 377-6985
Mailing address
421 KOHLER CT, SANTA ROSA, CA 95404-5113
(707) 480-3381
(256) 377-6985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
31215
CA
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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