Individual
CHAMARA PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 TENNESSEE ST STE 3B, VALLEJO, CA 94590-4647
(707) 430-0119
Mailing address
2741 TUOLUMNE ST, VALLEJO, CA 94589-2332
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
38961
CA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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