Individual
STEPHANIE GUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 EUREKA RD STE 103, ROSEVILLE, CA 95661-3047
(916) 772-5325
(916) 771-6338
Mailing address
1528 EUREKA RD STE 103, ROSEVILLE, CA 95661-3047
(916) 772-5325
(916) 771-6338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55039
CA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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