Individual
ROGER L THRASHER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 LEWIS ST, HIGHLAND PARK, CA 90042-2111
(818) 742-8087
Mailing address
405 LEWIS ST, HIGHLAND PARK, CA 90042-2111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70967
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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