Individual
SHELLEY LANE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 10TH AVE APT 2, LOS ANGELES, CA 90043-4034
(310) 433-1643
Mailing address
6200 10TH AVE APT 2, LOS ANGELES, CA 90043-4034
(310) 433-1643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78395
CA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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