Individual
JONATHAN HAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8730 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4547
(310) 652-3200
Mailing address
1010 E 7TH ST APT 5, LONG BEACH, CA 90813-4865
(310) 435-1849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25675
CA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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