Individual
MRS. KIMBERLY LAIN URETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
17685 1/2 VERDE ST, HESPERIA, CA 92345-5442
(760) 646-3140
Mailing address
9179 G AVE, HESPERIA, CA 92345-6121
(760) 646-3140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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