Individual
DELLON VALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, MLD-C
Contact information
Practice address
630 3RD ST, SANTA ROSA, CA 95404-4403
(707) 303-7707
Mailing address
5929 MARK WEST LN, SANTA ROSA, CA 95404-7509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
100776
CA
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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