Individual
BENJAMIN MALMETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6915 MELBA AVE, WEST HILLS, CA 91307-2414
(213) 713-6248
Mailing address
6915 MELBA AVE, WEST HILLS, CA 91307-2414
(213) 713-6248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77528
CALIFORNIA AMERICAN MASSAGE THERAPY ASSOCIATION CERTIFICATION
CA
Enumeration date
07/01/2021
Last updated
07/01/2021
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