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Individual

MARISA KAITLYN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
1025 B ST, HAYWARD, CA 94541-4107
(510) 733-0288
Mailing address
1002 E 23RD ST APT 4, OAKLAND, CA 94606-2742
(925) 951-7313

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81728
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81728
CAMTC
CA
Enumeration date
09/22/2021
Last updated
09/22/2021
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