Individual
KIMATAKAYA M JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3231 PRENTISS ST APT E, OAKLAND, CA 94601-2643
(510) 469-7119
Mailing address
3231 PRENTISS ST APT E, OAKLAND, CA 94601-2643
(510) 469-7119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70962
CA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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