Individual
SUSAN MARIE MAGGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 SAWTELLE BLVD STE 630, LOS ANGELES, CA 90025-7013
(877) 438-9335
Mailing address
1849 SAWTELLE BLVD STE 630, LOS ANGELES, CA 90025-7013
(877) 438-9335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73433
CA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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