Healthcare Provider Details

I. General information

NPI: 1902718554
Provider Name (Legal Business Name): ALMA D FLORES GOVEA MT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80000 AVENUE 48 SPC 7
INDIO CA
92201-6543
US

IV. Provider business mailing address

PO BOX 556
COACHELLA CA
92236-0556
US

V. Phone/Fax

Practice location:
  • Phone: 760-848-5256
  • Fax:
Mailing address:
  • Phone: 760-848-5256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number80311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: