Individual
MISS TINA HOPE DISTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3540 SOQUEL AVE STE C2, SANTA CRUZ, CA 95062-1769
(831) 291-5008
Mailing address
3540 SOQUEL AVE STE C2, SANTA CRUZ, CA 95062-1769
(831) 291-5008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
60351627
WA
225700000X
Massage Therapist
Primary
71677
CA
Other
Enumeration date
02/23/2015
Last updated
03/02/2023
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