Individual
TANYA HAUGHAWOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1202 BRISTOL ST STE 200, COSTA MESA, CA 92626-8607
(714) 424-9001
Mailing address
16412 RHONE LN, HUNTINGTON BEACH, CA 92647-4129
(805) 304-2701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
42775
CA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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