Individual
TIANA PASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
5125 WALL ST, LOS ANGELES, CA 90011-4542
(323) 239-3715
Mailing address
5125 WALL ST, LOS ANGELES, CA 90011-4542
(323) 239-3715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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