Individual
ROBERTA MORAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
955 LANE AVE STE 101, CHULA VISTA, CA 91914-4525
(619) 500-4615
(619) 414-1387
Mailing address
955 LANE AVE STE 101, CHULA VISTA, CA 91914-4525
(619) 500-4615
(619) 414-1387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
65398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65398
CERTIFICATION/LICENSE NUMBER
CA
Enumeration date
08/20/2020
Last updated
08/20/2020
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