Individual
SAMANTHA IMPERATRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
621 55TH ST, OAKLAND, CA 94609-1601
(510) 926-6236
Mailing address
621 55TH ST, OAKLAND, CA 94609-1601
(510) 926-6236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70124
CA
Other
Enumeration date
07/09/2018
Last updated
06/11/2019
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