Individual
DAMISA KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 W 25TH AVE, SAN MATEO, CA 94403-2236
(650) 518-8666
Mailing address
15 W 25TH AVE, SAN MATEO, CA 94403-2236
(650) 518-8666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79486
CA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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