Individual
KATHLEEN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 ADELINE ST APT C, BERKELEY, CA 94703-2253
(925) 494-1844
Mailing address
161 TAYLOR BLVD, PLEASANT HILL, CA 94523-2356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75952
CA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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