Individual
KATHLEEN LISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
9469 FAIRGROVE LN UNIT 303, SAN DIEGO, CA 92129-2644
(619) 880-6538
Mailing address
9469 FAIRGROVE LN UNIT 303, SAN DIEGO, CA 92129-2644
(619) 880-6538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70128
CA
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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