Individual
MISS NATRADA VEJJADHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WINDSOR AVE, SAN RAFAEL, CA 94901-1052
(206) 965-5594
Mailing address
40 WINDSOR AVE, SAN RAFAEL, CA 94901-1052
(206) 965-5594
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92043
CA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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