Individual
KATIE PREMAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39745 AVENIDA ACACIAS, MURRIETA, CA 92563-2203
(949) 668-2050
Mailing address
1209 GATEWAY PL, RANCHO MISSION VIEJO, CA 92694-1841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43449
CA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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