Individual
JANICE MICHELLE SUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1859 E 51ST ST, LOS ANGELES, CA 90058-1906
(213) 841-5169
Mailing address
1859 E 51ST ST, LOS ANGELES, CA 90058-1906
(213) 841-5169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37002
CA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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