Individual
DEANZA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6221 WILSHIRE BLVD STE 518, LOS ANGELES, CA 90048-5223
(323) 549-0700
Mailing address
6355 DE SOTO AVE APT A305, WOODLAND HILLS, CA 91367-2647
(310) 621-8529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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