Individual
AMANDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1145 SPAZIER AVE APT B, GLENDALE, CA 91201-3705
(310) 895-6682
Mailing address
1145 SPAZIER AVE APT B, GLENDALE, CA 91201-3705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87912
CA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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