Bokano, Staci

Bokano, Staci is an individual health care provider with primary practice located at 6177 River Crest Dr Ste A , Riverside CA 92507-0728. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bokano, Staci can be contacted via phone (951) 653-4480.

Contact Information

Primary practice address
6177 River Crest Dr Ste A Riverside CA 92507-0728
Phone: (951) 653-4480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 30018 California

Profile Details

NPI number 1447874441
LBN Legal business name Bokano, Staci
Credentials CMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447874441 NPPES
California Other 300188 MASSAGE THERAPY

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