Individual
EMMANUEL ELI MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
11461 W WASHINGTON BLVD STE 1, LOS ANGELES, CA 90066-6026
(424) 543-4336
Mailing address
20107 LIVORNO WAY, PORTER RANCH, CA 91326-4090
(818) 371-4997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
52278
CA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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