Individual
MS. MIHARU MORITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. MASSAGE THER
Contact information
Practice address
1530 5TH ST APT 220, SANTA MONICA, CA 90401-2422
(310) 899-9802
Mailing address
1530 5TH ST APT 220, SANTA MONICA, CA 90401-2422
(310) 899-9802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5888
CA
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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