Individual
JEMANI S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
8725 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(424) 331-5661
Mailing address
6211 3RD AVE, LOS ANGELES, CA 90043-4205
(323) 434-0592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
66655
CA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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