Individual
MS. KRISTJANA DIANNE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
16511 GOLDENWEST ST STE C, HUNTINGTON BEACH, CA 92647-4484
(714) 785-0885
Mailing address
6301 WARNER AVE SPC 47, HUNTINGTON BEACH, CA 92647-8004
(714) 785-0885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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