Individual
MS. ANNE GRACE SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAMTC#27980
Contact information
Practice address
11936 LOUISE AVE, LOS ANGELES, CA 90066-5810
(310) 396-3566
(310) 230-5175
Mailing address
11936 LOUISE AVE, LOS ANGELES, CA 90066-5810
(310) 396-3566
(310) 230-5175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27980
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
02/07/2007
Last updated
08/12/2013
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