Individual
LAURIE JEAN BURKHHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2764 RIDGELINE DR APT 102, CORONA, CA 92882-8772
(714) 271-7558
Mailing address
2764 RIDGELINE DR APT 102, CORONA, CA 92882-8772
(714) 271-7558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11798
CA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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