Individual
DONNA DEUFEMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACMT
Contact information
Practice address
503 D ST, SAN RAFAEL, CA 94901-3854
(415) 302-8010
Mailing address
62 DRAKEWOOD LN, NOVATO, CA 94947-4649
(415) 302-8010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33957
CA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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