Individual
MR. MANUEL CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3444 W 8TH ST, LOS ANGELES, CA 90005-2516
(310) 920-3992
Mailing address
3444 W 8TH ST, LOS ANGELES, CA 90005-2516
(310) 920-3992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
CA
Enumeration date
08/10/2016
Last updated
08/10/2016
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