Individual
TIFFANY FUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6343 W 82ND ST, LOS ANGELES, CA 90045-2876
(239) 938-4160
Mailing address
6343 W 82ND ST, LOS ANGELES, CA 90045-2876
(239) 938-4160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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