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Individual

KELLEY ELIZABETH O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
735C CENTER BLVD, FAIRFAX, CA 94930-1744
(415) 302-1602
Mailing address
32 HILL AVE, FAIRFAX, CA 94930-1713
(415) 302-1602

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88230
CA

Other

Enumeration date
06/24/2024
Last updated
06/24/2024
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