Individual
ANGEL KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
32938 ROAD 222, NORTH FORK, CA 93643-9562
(559) 760-0927
Mailing address
PO BOX 202, NORTH FORK, CA 93643-0202
(559) 760-0927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2021-0083
CA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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