Individual
LISA MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
386 S EMMA AVE, VENTURA, CA 93003-4741
(805) 377-9938
Mailing address
386 S EMMA AVE, VENTURA, CA 93003-4741
(805) 377-9938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76317
CAMTC
CA
Enumeration date
07/30/2018
Last updated
07/30/2018
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