Individual
BETHIAH DEMAY ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3654 GRAND AVE, OAKLAND, CA 94610-2008
(518) 965-2387
Mailing address
2925 MAGNOLIA ST APT B, OAKLAND, CA 94608-4413
(518) 965-2387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77617
CA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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