Individual
CALLIE MICHELLE NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122-5976
(844) 747-0474
Mailing address
4180 LOUISIANA ST APT 2J, SAN DIEGO, CA 92104
(619) 734-5282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78957
CA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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