Individual
CHANEL A ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5611 SAINT ANN AVE, CYPRESS, CA 90630-2325
(714) 915-3620
Mailing address
5611 SAINT ANN AVE, CYPRESS, CA 90630-2325
(714) 915-3620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2391-0
CA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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