Individual
MISS KELLY ANN MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 TIMBER HILLS RD, COLFAX, CA 95713-9762
(805) 868-0387
Mailing address
912 TIMBER HILLS RD, COLFAX, CA 95713-9762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76068
CA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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