Individual
MEGAN C AVINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1966 BLUE SKY LN, SANTA ROSA, CA 95407-4544
(707) 758-8299
Mailing address
1966 BLUE SKY LN, SANTA ROSA, CA 95407-4544
(707) 758-8299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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