Individual
KEVIN WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 MAIN ST, VISTA, CA 92084-6007
(760) 726-9660
(760) 726-9660
Mailing address
444 E 4TH AVE APT 712, ESCONDIDO, CA 92025-4375
(760) 520-3312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43077
CA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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