Individual
KRISTEN MASAE ALFONSO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
11498 PIERCE ST, RIVERSIDE, CA 92505-3357
(951) 354-6294
Mailing address
PO BOX 5033, NORCO, CA 92860-8001
(310) 938-7100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1821
CA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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