Individual
GEORGINA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17000 VENTURA BLVD STE 100B, ENCINO, CA 91316-4109
(818) 302-5752
Mailing address
12700 VAN NUYS BLVD APT 300, PACOIMA, CA 91331-1625
(818) 671-8869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82610
CA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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