Individual
NIANE OLIVEIRA RIBEIRO DE SA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1174 LINCOLN AVE STE 5, SAN JOSE, CA 95125-3029
(650) 503-4737
Mailing address
1052 HIGH ST, PALO ALTO, CA 94301-2424
(650) 564-2429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74725
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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