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Individual

LANA NICOLE FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CMT

Contact information

Practice address
2243 BRIER AVE, LOS ANGELES, CA 90039-3329
(239) 776-1494
Mailing address
2243 BRIER AVE, LOS ANGELES, CA 90039-3329
(239) 776-1494

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79884
CA

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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