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Individual

GENESIS ESPITIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21051 LASSEN ST APT 29, CHATSWORTH, CA 91311-4248
(818) 966-5870
Mailing address
21051 LASSEN ST APT 29, CHATSWORTH, CA 91311-4248
(818) 966-5870

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84217
CA

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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