Individual
GINA KING-LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 S MADISON AVE APT 109, PASADENA, CA 91101-4015
(626) 241-4707
Mailing address
411 S MADISON AVE APT 109, PASADENA, CA 91101-4015
(626) 241-4707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
52241
CA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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