Individual
ELIZABETH MCIRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6430 ORANGE ST, LOS ANGELES, CA 90048-4779
(919) 710-7273
Mailing address
6430 ORANGE ST, LOS ANGELES, CA 90048-4779
(919) 710-7273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72077
CA
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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