Elizabeth McIrvin
Massage Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1295447647
StatusActive
Last updated in NPPESDec 16, 2022
Details
- NPI
- 1295447647
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth McIrvin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2022
- Certification date
- Dec 16, 2022
- Last updated
- Dec 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 72077 | CA | Yes |
Practice location
6430 Orange StLos Angeles, CA 90048-4779
Phone 919-710-7273
Mailing address
6430 Orange StLos Angeles, CA 90048-4779
Phone 919-710-7273
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