Individual
LYSSA LYNN UCHIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
312 S CATALINA AVE STE E, REDONDO BEACH, CA 90277-3622
(310) 293-9382
Mailing address
702 W HAMILTON PL APT 8, SAN PEDRO, CA 90731-6371
(310) 293-9382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37859
CA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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