Individual
WANDA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 CLARK AVE STE 445, LAKEWOOD, CA 90712-2630
(310) 936-4621
(310) 568-9583
Mailing address
PO BOX 452103, WESTCHESTER, CA 90045-8527
(310) 936-4621
(310) 568-9583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11797
CA
Other
Enumeration date
09/15/2015
Last updated
11/07/2025
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