Individual
RUTH GOVEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 S GLASSELL ST, #104B, ORANGE, CA 92866-3004
(714) 944-8616
Mailing address
630 S GLASSELL ST, #104B, ORANGE, CA 92866-3004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19894
CA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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