Individual
KAZUMI IKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SPRUCE AVE, PACIFIC GROVE, CA 93950-3919
(858) 752-7365
Mailing address
801 SPRUCE AVE, PACIFIC GROVE, CA 93950-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94114
CA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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