Individual
KRISTINA SHAMILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5575 RUFFIN RD STE 110, SAN DIEGO, CA 92123-1361
(858) 492-5400
Mailing address
8324 REGENTS RD UNIT 3O, SAN DIEGO, CA 92122-1330
(619) 665-2590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72859
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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