Individual
MASAMI KIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 E BERKELEY ST, SANTA ANA, CA 92707-2302
(714) 349-6043
Mailing address
622 E BERKELEY ST, SANTA ANA, CA 92707-2302
(714) 349-6043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43424
MASSAGE THERAPIST
—
Enumeration date
09/18/2020
Last updated
09/18/2020
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