Individual
AMANDA L KRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
77698 MALONE CIR, PALM DESERT, CA 92211-0419
(760) 848-4228
Mailing address
77698 MALONE CIR, PALM DESERT, CA 92211-0419
(760) 848-4228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
40843
CA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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