Individual
JAYSON A RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8590 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-2354
(323) 216-7978
Mailing address
4228 PALMERO BLVD, VIEW PARK, CA 90008-4422
(323) 216-7978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11431
CA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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