Individual
KIMBERLEY ANNE LEE-THORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 AVENIDA DEL MAR STE 215, SAN CLEMENTE, CA 92672-4001
(949) 547-0716
Mailing address
205 CALLE CONCHITA, SAN CLEMENTE, CA 92672-5404
(949) 547-0716
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
570332-09 (NAT'L)
—
374J00000X
Doula
—
—
Other
Enumeration date
09/30/2009
Last updated
03/24/2016
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