Individual
MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3460 OCEAN VIEW BLVD STE B, GLENDALE, CA 91208-3306
(213) 500-8051
Mailing address
863 TEMPLE TER, LOS ANGELES, CA 90042-5022
(213) 500-8051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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