Vita Koval, | |
8327 Fair Oaks Blvd Apt 29, Carmichael, CA 95608-1958 | |
(415) 966-5383 | |
Not Available |
Full Name | Vita Koval |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 8327 Fair Oaks Blvd Apt 29, Carmichael, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164056610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 03070 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Vita Koval, 8327 Fair Oaks Blvd Apt 29, Carmichael, CA 95608-1958 Ph: () - | Vita Koval, 8327 Fair Oaks Blvd Apt 29, Carmichael, CA 95608-1958 Ph: (415) 966-5383 |
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