Individual
LINDA SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6745 HASKELL AVE, APT 4, LAKE BALBOA, CA 91406-6155
(818) 441-9377
Mailing address
6745 HASKELL AVE, APT 4, LAKE BALBOA, CA 91406-6155
(818) 441-9377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12966
CA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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