Individual
AVA MOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMP
Contact information
Practice address
808 DONAHUE ST, SANTA ROSA, CA 95401-5434
(707) 322-6515
Mailing address
5006 BOULDER LN, SANTA ROSA, CA 95405-7417
(707) 694-8913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54654
CA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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