Individual
KIMBERLY PON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WASHINGTON ST, DALY CITY, CA 94014-2500
(650) 219-3570
Mailing address
75 WASHINGTON ST, DALY CITY, CA 94014-2500
(650) 219-3570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3076
CA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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