Individual
MS. KIRSTIN LINNE GAGARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 CALDWELL DRIVE, SOQUEL, CA 95073-2055
(831) 576-3000
(831) 607-2662
Mailing address
4041-151 SOQUEL DRIVE, SOQUEL, CA 95073
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
A4319851
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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