Individual
ALEXANDRA RAYE VONBRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12513 VENICE BLVD, LOS ANGELES, CA 90066-3701
(908) 907-0841
Mailing address
11501 VENICE BLVD APT 3, LOS ANGELES, CA 90066-4043
(908) 907-0841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85590
CA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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