Organization
CALIFORNIA TOTAL BODY MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWYNNE BUTTRILL LMT (OWNER)
(240) 925-6283
Entity
Organization
Contact information
Practice address
22735 VENTURA WAY, CALIFORNIA, MD 20619-5108
(240) 925-6283
Mailing address
22735 VENTURA WAY, CALIFORNIA, MD 20619-5108
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05083
MD
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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