Individual
EVA CHALUPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 UNIVERSITY DR STE 103, MENLO PARK, CA 94025-4265
(650) 823-4321
Mailing address
1220 UNIVERSITY DR STE 103, MENLO PARK, CA 94025-4265
(650) 823-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76644
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
06/02/2021
Last updated
06/02/2021
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