Individual
GANTUYA DAVAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 TORRANCE BLVD, REDONDO BEACH, CA 90277-3303
(310) 798-2707
Mailing address
20820 ANZA AVE APT 122, TORRANCE, CA 90503-4282
(213) 290-8652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74881
CA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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