Individual
PENNIE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
903 1/4 W 57TH ST, LOS ANGELES, CA 90037-4397
(323) 577-9375
Mailing address
903 1/4 W 57TH ST, LOS ANGELES, CA 90037-4397
(323) 577-9375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55025
CA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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