Individual
PARICHART BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6458 DENSMORE AVE, LAKE BALBOA, CA 91406-6020
(310) 910-4449
Mailing address
6458 DENSMORE AVE, LAKE BALBOA, CA 91406-6020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6503
CA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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