| Kriscynthia Outlaw, | |
|
6642 E Pacific Coast Hwy Ste 105, Long Beach, CA 90803-4208 | |
| (310) 631-2123 | |
| Not Available |
| Full Name | Kriscynthia Outlaw |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 6642 E Pacific Coast Hwy Ste 105, Long Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013564368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 25010 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kriscynthia Outlaw, 6642 E Pacific Coast Hwy Ste 105, Long Beach, CA 90803-4208 Ph: (310) 631-2123 | Kriscynthia Outlaw, 6642 E Pacific Coast Hwy Ste 105, Long Beach, CA 90803-4208 Ph: (310) 631-2123 |
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