Individual
KATHRYN MICHELLE TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 LA PALOMA APT C, SAN CLEMENTE, CA 92672-5125
(858) 245-9784
Mailing address
243 LA PALOMA APT C, SAN CLEMENTE, CA 92672-5125
(858) 245-9784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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