Individual
MIKI CHRISTINE COTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT-14159
Contact information
Practice address
35476 CAMINO CAPISTRANO APT A, CAPISTRANO BEACH, CA 92624-1852
(808) 492-9920
Mailing address
35476 CAMINO CAPISTRANO APT A, CAPISTRANO BEACH, CA 92624-1852
(808) 492-9920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14159
CA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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