Individual
DEANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
18333 DOLAN WAY STE 204, CANYON COUNTRY, CA 91387-5423
(310) 890-4784
Mailing address
18333 DOLAN WAY STE 204, CANYON COUNTRY, CA 91387-5423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
158546
CA
Other
Enumeration date
01/16/2024
Last updated
02/01/2024
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