YUNITRISUWANTO BASUKI

SANTA MONICA, CA
NPI1518557016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CA  8254)
Enumeration Date2021-01-19
Last Update Date2021-01-19
Business Address
Mr. YUNITRISUWANTO BASUKI
625 MONTANA AVE
SANTA MONICA, CA 90403-1409
Phone number: 310-393-7007
Mailing Address
Mr. YUNITRISUWANTO BASUKI
16011 S WESTERN AVE APT 14
GARDENA, CA 90247-3736
Phone number: 310-866-2340
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