Individual
SHANEE KIERA BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4340 BEVERLY BLVD, LOS ANGELES, CA 90004-4444
(213) 474-6109
Mailing address
4340 BEVERLY BLVD, LOS ANGELES, CA 90004-4444
(213) 474-6109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73398
CA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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