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Individual

KATHLEEN KRUEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HHP

Contact information

Practice address
616 S EL CAMINO REAL STE B4, SAN CLEMENTE, CA 92672-4272
(949) 498-0120
Mailing address
616 S EL CAMINO REAL STE B4, SAN CLEMENTE, CA 92672-4272
(949) 498-0120

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
5457
CA
225700000X
Massage Therapist
Primary
5457
CA
374J00000X
Doula
374U00000X
Home Health Aide

Other

Enumeration date
01/12/2011
Last updated
01/12/2011
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