Individual
KEVIN MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 PINNACLE ST, PERRIS, CA 92570-5542
(951) 990-3185
Mailing address
319 PINNACLE ST, PERRIS, CA 92570-5542
(951) 990-3185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77743
CA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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