Individual
ERNESTO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
920 N ORANGE GROVE AVE APT 22, WEST HOLLYWOOD, CA 90046-7228
(310) 756-3933
Mailing address
920 N ORANGE GROVE AVE APT 22, WEST HOLLYWOOD, CA 90046-7228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43459
CA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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