Individual
KIMBERLY JEAN KINGLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
212 WILLOW ST, VALLEJO, CA 94589-2335
(707) 481-9966
Mailing address
212 WILLOW ST, VALLEJO, CA 94589-2335
(707) 481-9966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41479
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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