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Individual

MIRIAM CHIPO RUKANZAKANZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
756 WASHINGTON BLVD STE A, MARINA DEL REY, CA 90292-5582
(310) 397-0199
Mailing address
856 W BEACH AVE UNIT 25, INGLEWOOD, CA 90302-3929
(310) 710-6122

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55359
CA

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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