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Individual

KARLA LIZETTE SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5600 FERNWOOD AVE APT 104, LOS ANGELES, CA 90028-8565
(409) 939-1789
Mailing address
5600 FERNWOOD AVE APT 104, LOS ANGELES, CA 90028-8565
(409) 939-1789

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72349
CA

Other

Enumeration date
01/08/2022
Last updated
01/08/2022
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