Individual
MS. CHARITY JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4141 VIA MARISOL APT 110, LOS ANGELES, CA 90042-5128
(602) 403-5235
Mailing address
4141 VIA MARISOL APT 110, LOS ANGELES, CA 90042-5128
(602) 403-5235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86725
CA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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