Individual
ALEXANDRE KALES COUTURE HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2489 LAKE TAHOE BLVD STE 8, SOUTH LAKE TAHOE, CA 96150-7713
(530) 307-8252
Mailing address
2489 LAKE TAHOE BLVD STE 8, SOUTH LAKE TAHOE, CA 96150-7713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0710-002
CA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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