Individual
MIRANDA MAINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2817 S SYCAMORE AVE, LOS ANGELES, CA 90016-3411
(909) 275-9558
Mailing address
2817 S SYCAMORE AVE, LOS ANGELES, CA 90016-3411
(909) 275-9558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79859
CA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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