Individual
HORACIO R ROA GIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
13376 RUE MONTAIGNE, OREGON HOUSE, CA 95962-0684
(530) 790-5167
Mailing address
PO BOX 684, OREGON HOUSE, CA 95962-0684
(530) 790-5167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
509711
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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