Individual
ANGIE BROENNIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 17TH ST, PACIFIC GROVE, CA 93950-4210
(920) 933-0157
Mailing address
508 17TH ST, PACIFIC GROVE, CA 93950-4210
(920) 933-0157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72285
CA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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