Individual
CLARA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 W SUNSET BLVD, LOS ANGELES, CA 90026-2117
(323) 922-6007
Mailing address
1745 N ORANGE DR APT 207, LOS ANGELES, CA 90028-4338
(917) 832-5799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76825
CA
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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