Individual
MARY KATHARINE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 17TH ST APT F, SANTA MONICA, CA 90404-1227
(808) 250-1220
Mailing address
1225 17TH ST APT F, SANTA MONICA, CA 90404-1227
(808) 250-1220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16291
CA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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