Individual
MRS. ANN WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
16511 GOLDENWEST ST STE 111, HUNTINGTON BEACH, CA 92647-4484
(714) 891-3201
Mailing address
5762 SPA DR, HUNTINGTON BEACH, CA 92647-2027
(714) 642-4544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
A265240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431739-00
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK
CA
Enumeration date
02/07/2009
Last updated
06/23/2014
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