Individual
MS. KAREN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1055 MAIN ST, SUITE 7, FORTUNA, CA 95540-2008
(707) 832-6823
Mailing address
PO BOX 305, HYDESVILLE, CA 95547-0305
(707) 832-6823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12298
CA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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