Vita Koval
Massage Therapist in Carmichael, CA. Individual provider (NPI-1).
NPI number1164056610
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1164056610
- Entity type
- Individual (NPI-1)
- Name
- Vita Koval
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2020
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 03070 | CA | Yes |
Practice location
8327 Fair Oaks Blvd Apt 29Carmichael, CA 95608-1958
Phone 415-966-5383
Mailing address
8327 Fair Oaks Blvd Apt 29Carmichael, CA 95608-1958
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