Individual
SAM DYER STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2784 FREEPORT BLVD, SACRAMENTO, CA 95818-3053
(207) 610-0140
Mailing address
2784 FREEPORT BLVD, SACRAMENTO, CA 95818-3053
(207) 610-0140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75560
CA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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