Organization
2GORJIS INTEGRATED HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M EVANS MESSAGE THERAPIST (OWNER)
(925) 689-8602
Entity
Organization
Contact information
Practice address
81 GREGORY LN STE 210, PLEASANT HILL, CA 94523-4922
(925) 932-8602
Mailing address
PO BOX 4403, WALNUT CREEK, CA 94596-0403
(925) 689-8602
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207N00000X
Dermatology Physician
Z21679
CA
225700000X
Massage Therapist
43135
CA
305S00000X
Point of Service
Primary
MASSAGE THERAPIST
CA
Other
Enumeration date
09/21/2009
Last updated
07/10/2020
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