Individual
MELISSA ANNETTE RUBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
274 GRANDVIEW RD, SEBASTOPOL, CA 95472-2920
(707) 304-3512
Mailing address
274 GRANDVIEW RD, SEBASTOPOL, CA 95472-2920
(707) 304-3512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77038
CA
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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