Individual
KRISTIN PANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27790 LAFAYETTE WAY, MORENO VALLEY, CA 92555-5712
(951) 905-8047
Mailing address
27790 LAFAYETTE WAY, MORENO VALLEY, CA 92555-5712
(951) 905-8047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83105
CA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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