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Marco Antonio
Massage Therapist in Los Angeles, California
NPI 1245090745

Marco Antonio is a Massage Therapist based in Los Angeles, CA. Marco Antonio practices in Los Angeles, CA. The NPI Number for Marco Antonio is 1245090745 and holds a License No. 91285 (California).

The current practice location address for Marco Antonio is 11611 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 925-476-1767.

Location: 11611 San Vicente Blvd, Los Angeles, CA, 90039-2081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245090745
Provider Name
Marco Antonio
Credential
Provider Entity Type
Individual
Gender
Male
Address
11611 San Vicente Blvd, Los Angeles, CA, 90039-2081
Phone Number
925-476-1767
Fax Number
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11611 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5106
Phone Number
925-476-1767
Fax Number
person
Provider Business Mailing Address Details
Address
11611 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5106
Phone Number
925-476-1767
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
91285 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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