Individual
MINERVA MARIA MOTA VELAZCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
588 SANTIAGO AVE, SACRAMENTO, CA 95815-2427
(831) 229-1194
Mailing address
588 SANTIAGO AVE, SACRAMENTO, CA 95815-2427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77216
CA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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