Individual
NYANISO RAHOTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 W 54TH ST, LOS ANGELES, CA 90043-2306
(323) 639-3191
Mailing address
3466 S CLOVERDALE AVE, LOS ANGELES, CA 90016-5214
(323) 793-1159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121647
CA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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