Individual
KEITH GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 E 3RD ST APT E, LONG BEACH, CA 90802-3623
(213) 364-9390
Mailing address
1501 E 3RD ST APT E, LONG BEACH, CA 90802-3623
(213) 364-9390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71125
CA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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