Individual
MIYKAL CLARISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 CARRILLO DR STE 103, LOS ANGELES, CA 90048-5400
(323) 815-6205
Mailing address
4506 SATURN ST, LOS ANGELES, CA 90019-5847
(323) 815-6205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22239
CA
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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