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Brandon Newhouse

Massage Therapist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1669040010
StatusActive
Last updated in NPPESJun 14, 2021

Details

NPI
1669040010
Entity type
Individual (NPI-1)
Name
Brandon Newhouse
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2021
Certification date
Mar 8, 2021
Last updated
Jun 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist–CAYes

Practice location

6946 Los Tilos Rd
Los Angeles, CA 90068-3107

Phone 323-397-1872

Mailing address

6946 Los Tilos Rd
Los Angeles, CA 90068-3107

Phone 323-397-1872

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