Individual
GERALDINE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2200 RANGE AVE, 100, SANTA ROSA, CA 95403-9471
(707) 548-4997
(707) 575-7639
Mailing address
2613 MARLOW RD, SANTA ROSA, CA 95403-2421
(707) 548-4997
(707) 575-7639
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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