Individual
KIKUYO YASUMARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 N PARK WESTERN DR APT 3, SAN PEDRO, CA 90732-2321
(424) 212-2483
Mailing address
1218 N PARK WESTERN DR APT 3, SAN PEDRO, CA 90732-2321
(424) 212-2483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
57242
CA
225700000X
Massage Therapist
57242
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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