Individual
MRS. JENNIFER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3429 ANDRITA ST, 1, LOS ANGELES, CA 90065-2952
(323) 605-6055
Mailing address
3429 ANDRITA ST, 1, LOS ANGELES, CA 90065-2952
(323) 605-6055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1227
CA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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