Individual
AMANDA SUE GRABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1449 E GROVE AVE, ORANGE, CA 92865-3910
(714) 594-9523
Mailing address
1449 E GROVE AVE APT 30, ORANGE, CA 92865-3957
(818) 618-8194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67795
CA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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