Individual
KATHRYN ASANDA PAVLACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1640 BUSH ST, SAN FRANCISCO, CA 94109-5308
(510) 507-1656
Mailing address
1640 BUSH ST, SAN FRANCISCO, CA 94109-5308
(510) 507-1656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61814
CA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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