Individual
MS. MYRIAM LIBERTY KOPPELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4337 MARINA CITY DR # 947ETN, MARINA DEL REY, CA 90292-5813
(310) 435-5003
Mailing address
4337 MARINA CITY DR # 947ETN, MARINA DEL REY, CA 90292-5813
(310) 435-5003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73597
CA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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