Most Relevant Information
Provider Data
| NPI Number: | 1003638081 |
| Provider Name: | REBECCA GRANDE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 40743 |
Most Important Dates
| Enumeration Date: | 10/30/2024 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
1775 HARRISON AVE
EUREKA
CA
955011338
Practice Location Phone/Fax
| Phone: | 7074458080 |
| Fax: | 7073971072 |
Provider Mailing Location
1775 HARRISON AVE
EUREKA
CA
955011338
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |