Individual
KIMBERLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 3RD ST, DUARTE, CA 91010-1814
(909) 835-9162
Mailing address
1508 3RD ST, DUARTE, CA 91010-1814
(909) 835-9162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
34978
CA
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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