Individual
KAMPOL CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
6307 HERZOG ST, OAKLAND, CA 94608-1219
(415) 823-8467
Mailing address
6307 HERZOG ST, OAKLAND, CA 94608-1219
(415) 823-8467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73380
CA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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