Mr. Yunitrisuwanto Basuki
Mr. Yunitrisuwanto Basuki is a Massage Therapist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
625 Montana AveSanta Monica, CA 90403-1409
Phone: (310) 393-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 8254 (CA) |
|---|
Record details
| NPI number | 1518557016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2021 |
| Last updated in NPPES | January 19, 2021 |
| Certification date | January 19, 2021 |
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