Emerald Shovan Evans, CMTC
Massage Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1013762053
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1013762053
- Entity type
- Individual (NPI-1)
- Name
- Emerald Shovan Evans
- Credential
- CMTC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 22, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 96289 | CA | Yes |
| 174H00000X | Health Educator | 96289 | CA |
Practice location
1211 EmbarcaderoOakland, CA 94606-5119
Phone 510-328-4098
Mailing address
1030 E 21st StOakland, CA 94606-2628
Phone 510-220-8530
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All 111 Massage Therapist providers in Oakland · All 20,942 providers in Oakland
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