Individual
AGNES KRING HENSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 E ANDY ST APT 1, LONG BEACH, CA 90805-4543
(562) 306-2834
Mailing address
3421 E ANDY ST APT 1, LONG BEACH, CA 90805-4543
(562) 306-2834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60164
CA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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