Individual
LACEY ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8435 TYRONE AVE, PANORAMA CITY, CA 91402-3750
(626) 228-6235
Mailing address
8435 TYRONE AVE, PANORAMA CITY, CA 91402-3750
(626) 228-6235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78673
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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