Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 80835 | CA |
NPI | 1003420274 |
---|---|
Provider Name | Ms. Wenli Ferreira |
First Address | Seaside, CA 93955-5028 |
Second Address | Seaside, CA 93955-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2020 |
Last Update Date | 03/09/2020 |