Individual
KATHLEEN MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
327 N SAN MATEO DR STE 5, SAN MATEO, CA 94401-2585
(650) 784-5681
Mailing address
327 N SAN MATEO DR STE 5, SAN MATEO, CA 94401-2585
(650) 784-5681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63775
CA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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