IndividualActive
Steven Licea
NPI 1114898418 · Nurse Massage Therapist (NMT) · Windsor, CA
Provider details
- NPI number
- 1114898418
- Entity type
- Individual
- Primary specialty
- Nurse Massage Therapist (NMT)Nursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95188212 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
9133 Saint James Pl
Windsor, CA 95492-8332
Phone: (707) 480-1773
Approximate (ZIP-level) locationGet directions
Mailing address
9133 Saint James Pl
Windsor, CA 95492-8332
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.