Individual
KRISTIN GUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 TUCKER ST APT C, HEALDSBURG, CA 95448-4476
(707) 206-5596
Mailing address
313 TUCKER ST APT C, HEALDSBURG, CA 95448-4476
(707) 206-5596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81133
CA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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