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NPI Code Detail

MEDICARE: MS. KATSUE ABE MT

MEDICARE:  MS. KATSUE  ABE  MT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist03002164CA

General Provider Information

NPI Number : 1619092103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATSUE ABE MT
Provider Business Mailing Address
First Line : 5450 CLAIREMONT MESA BLVD STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-2358
Country : US
Telephone Number : 858-248-0189
Fax Number : 858-694-0284
Provider Business Practice Location Address
First Line : 5450 CLAIREMONT MESA BLVD STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-2358
Country : US
Telephone Number : 858-248-0189
Fax Number : 858-694-0284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 06/21/2013

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Directions to “ MS. KATSUE ABE MT” Practice Location

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