Individual
MATTEA OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 SHADY OAK CT, TURLOCK, CA 95382-8806
(209) 818-5026
Mailing address
3840 SHADY OAK CT, TURLOCK, CA 95382-8806
(209) 818-5026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55707
CA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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