Individual
JONATHAN KALENGAYI ILUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1483 HAVENHURST DR, WEST HOLLYWOOD, CA 90046-3814
(213) 570-6620
Mailing address
946 N HUDSON AVE APT 3, LOS ANGELES, CA 90038-2535
(213) 570-6620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73519
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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