Individual
MISS AMPARO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
821 E 2ND ST, #201C, BENICIA, CA 94510-3344
(707) 980-7661
Mailing address
139 13TH ST, VALLEJO, CA 94590-7116
(707) 333-3337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
32840
CA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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