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Individual

TRACY ROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
11745 W PICO BLVD, LOS ANGELES, CA 90064-1308
(424) 400-4057
Mailing address
3756 CARDIFF AVE APT 206, LOS ANGELES, CA 90034-8807
(310) 365-1528

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
39265
CA

Other

Enumeration date
06/11/2024
Last updated
06/11/2024
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