Individual
GARY CASIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT #2717
Contact information
Practice address
11632 VENTURA BLVD, STUDIO CITY, CA 91604-2637
(562) 652-1412
Mailing address
11134 MORRISON ST, NORTH HOLLYWOOD, CA 91601-4445
(562) 652-1412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2717
CA
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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