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NPI Code Detail

MEDICARE: DONNA MARIA CALL LIC.AC

MEDICARE:   DONNA MARIA CALL  LIC.AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC11423CA
2225700000XMassage Therapist
3225700000XMassage TherapistAC11423CA

General Provider Information

NPI Number : 1174707343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA MARIA CALL LIC.AC
Provider Business Mailing Address
First Line : 18300 OLD COAST HWY STE 3
Second Line :
City : FORT BRAGG
State : CA
Zip : 95437-8292
Country : US
Telephone Number : 707-357-5162
Fax Number :
Provider Business Practice Location Address
First Line : 18300 OLD COAST HWY
Second Line :
City : FORT BRAGG
State : CA
Zip : 95437-8205
Country : US
Telephone Number : 707-357-5162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 09/19/2025

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Directions to “ DONNA MARIA CALL LIC.AC” Practice Location

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