Individual
IDRIS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
589 S SPAULDING AVE, LOS ANGELES, CA 90036-3202
(323) 840-0687
Mailing address
589 S SPAULDING AVE, LOS ANGELES, CA 90036-3202
(323) 840-0687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85052
CA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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