Individual
SANDIE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3401 PACIFIC AVE STE 2A, MARINA DEL REY, CA 90292-7800
(310) 823-9378
Mailing address
3401 PACIFIC AVE STE 2A, MARINA DEL REY, CA 90292-7800
(310) 721-2389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11764
CAMTC
CA
Enumeration date
12/30/2019
Last updated
12/30/2019
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