Individual
CANDICE LORRAINE BETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19631 LORNE ST, RESEDA, CA 91335-1026
(818) 419-7052
(818) 885-5760
Mailing address
19631 LORNE ST, RESEDA, CA 91335-1026
(818) 419-7052
(818) 885-5760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2206618 P955
CA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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