Individual
MISS KENYA JEAN WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
7699 PALMILLA DR APT 3409, SAN DIEGO, CA 92122-5098
(909) 232-1962
Mailing address
7699 PALMILLA DR APT 3409, SAN DIEGO, CA 92122-5098
(909) 232-1962
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91571
CA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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