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Individual

HENRIETTA RAINGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
2033 SANTA CLARA AVE STE A, ALAMEDA, CA 94501-2777
(510) 865-9355
Mailing address
141 SARATOGA AVE APT 1117, SANTA CLARA, CA 95051-7359
(510) 393-2968

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
30544
CA

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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