Individual
KRISTIN GORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 SAN PABLO AVE, PINOLE, CA 94564-2011
(510) 722-8436
Mailing address
2111 NORSE DR, PLEASANT HILL, CA 94523-1823
(925) 518-0189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
44619
CA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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