Individual
MS. MICHELLE GAUNTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10432 PARMELEE AVE, LOS ANGELES, CA 90002-3547
(213) 300-2083
Mailing address
10432 PARMELEE AVE, LOS ANGELES, CA 90002-3547
(213) 300-2083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82077
CA
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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