Individual
TAMMY K HARTER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
12461 TUNSTALL CIR, GARDEN GROVE, CA 92845-2442
(949) 289-6213
Mailing address
PO BOX 15523, LONG BEACH, CA 90815-0523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
65304
CA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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