Goodbar, Audrey Mavis

Goodbar, Audrey Mavis is an sole proprietor health care provider with primary practice located at 2352 Parnell Ave , Los Angeles CA 90064-2202. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Reflexologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Goodbar, Audrey Mavis can be contacted via phone (310) 995-0036.

Contact Information

Primary practice address
2352 Parnell Ave Los Angeles CA 90064-2202
Phone: (310) 995-0036
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 29412 California
Other Service Providers / Reflexologist 173C00000X 29412 California

Profile Details

NPI number 1417226762
LBN Legal business name Goodbar, Audrey Mavis
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2011
Last updated Jan 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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