Individual
SOUTHIDA HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 STANFORD AVE, MARINA DEL REY, CA 90292-5524
(310) 849-7799
Mailing address
PO BOX 11072, MARINA DEL REY, CA 90295-7072
(310) 849-7799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55758
CA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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