Individual
ANGELA MARIE BAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
422 WARREN LN # 14B, INGLEWOOD, CA 90302-3116
(310) 425-4913
Mailing address
4470 W SUNSET BLVD # 91723, LOS ANGELES, CA 90027-6302
(310) 425-4913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63585
CA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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