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Individual

JOHNEEN D HARDWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
911 E SAN ANTONIO DR STE 5, LONG BEACH, CA 90807-2204
(562) 688-7716
(562) 232-3728
Mailing address
911 E SAN ANTONIO DR STE 5, LONG BEACH, CA 90807-2204
(562) 688-7716
(562) 232-3728

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
30480
CA
174400000X
Specialist
30480
CA
225700000X
Massage Therapist
Primary
30480
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30480
MASSAGE THERAPIST LICENSE
CA
Enumeration date
03/26/2014
Last updated
02/21/2023
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