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Individual

MISS MAYULEE WILAWANWELSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERT # 35078

Contact information

Practice address
349 S LAFAYETTE PK PL, LOS ANGELES, CA 90057
(213) 663-2700
Mailing address
349 S LAFAYETTE PK PL, LOS ANGELES, CA 90057
(213) 663-2700

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
35078
CA

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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