Individual
LOUISE M BORTOLOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 WASHINGTON ST, PETALUMA, CA 94952-2952
(707) 570-9025
Mailing address
PO BOX 4592, SANTA ROSA, CA 95402-4592
(707) 570-9025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
40083
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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