Individual
MR. MAXWELL GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
844 S HOLT AVE APT 5, LOS ANGELES, CA 90035-1844
(510) 220-0661
Mailing address
844 S HOLT AVE APT 5, LOS ANGELES, CA 90035-1844
(510) 220-0661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79405
CA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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