Organization
BODY BOXING BOOTCAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L BARRINGER (MANAGING DIRECTOR)
(310) 435-3820
Entity
Organization
Contact information
Practice address
142 S WETHERLY DR APT 302, LOS ANGELES, CA 90048-2928
(310) 435-3820
Mailing address
142 S WETHERLY DR APT 302, LOS ANGELES, CA 90048-2928
(310) 435-3820
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
0002708997-0001-2
CA
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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