Individual
STEPHEN KIMO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
10116 RIVERSIDE DR STE 300, TOLUCA LAKE, CA 91602-2544
(818) 427-9919
Mailing address
10116 RIVERSIDE DR STE 300, TOLUCA LAKE, CA 91602-2544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19815
CA
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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