Individual
DEVON FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 BIMINI PL APT 116, LOS ANGELES, CA 90004-5914
(781) 864-6343
Mailing address
117 BIMINI PL APT 116, LOS ANGELES, CA 90004-5914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
46162
CA
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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