Individual
STEPHANIE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3948 S ORANGE DR, LOS ANGELES, CA 90008-1110
(747) 238-6977
Mailing address
3948 S ORANGE DR, LOS ANGELES, CA 90008-1110
(747) 238-6977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72280
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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