Individual
MISS VISALIA COVINA DOBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 HALLMARK DR STE 2, SACRAMENTO, CA 95825-2212
(916) 661-1511
Mailing address
7336 GREENHAVEN DR APT 135, SACRAMENTO, CA 95831-3507
(916) 661-1511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
SPB12021-00048
CA
225700000X
Massage Therapist
SPB12021-00048
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81824
MASSAGE THERAPY
CA
Enumeration date
02/09/2021
Last updated
02/09/2021
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