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Individual

MICHELLE GUISELINI BARON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
539 N WINDSOR BLVD, LOS ANGELES, CA 90004-1412
(323) 378-6593
Mailing address
539 N WINDSOR BLVD, LOS ANGELES, CA 90004-1412
(323) 378-6593

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18684
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18684
CA MASSAGE THERAPY COUNCIL
CA
Enumeration date
08/12/2019
Last updated
08/12/2019
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