Ms Audrey Mavis Goodbar, MASSAGE THERAPIST | |
2352 Parnell Ave, Los Angeles, CA 90064-2202 | |
(310) 995-0036 | |
Not Available |
Full Name | Ms Audrey Mavis Goodbar |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 2352 Parnell Ave, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417226762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 29412 (California) | Primary |
173C00000X | Reflexologist | 29412 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Ms Audrey Mavis Goodbar, MASSAGE THERAPIST Po Box 7350, Beverly Hills, CA 90212-7350 Ph: (310) 995-0036 | Ms Audrey Mavis Goodbar, MASSAGE THERAPIST 2352 Parnell Ave, Los Angeles, CA 90064-2202 Ph: (310) 995-0036 |
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