Individual
KATE FOX COLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 RIVERSIDE DR, PENTHOUSE 1, SECOND FLOOR, STUDIO CITY, CA 91602-1093
(818) 964-1144
Mailing address
12331 RIVERSIDE DR APT 7, VALLEY VILLAGE, CA 91607-3635
(818) 964-1144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28395
CA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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