Individual
ANTOINETTE NICHELLE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 W 58TH ST, LOS ANGELES, CA 90062-2737
(310) 988-8694
Mailing address
1633 W 58TH ST, LOS ANGELES, CA 90062-2737
(310) 988-8694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24278
CA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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