Individual
ROBERT DOUGLAS KRISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
5611 E 23RD ST APT 5, LONG BEACH, CA 90815-2011
(646) 430-1586
Mailing address
5611 E 23RD ST APT 5, LONG BEACH, CA 90815-2011
(646) 430-1586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84517
CA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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