Individual
MICHELLE HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5252 BALBOA AVE STE 701, SAN DIEGO, CA 92117-6930
(858) 337-7801
Mailing address
5252 BALBOA AVE STE 701, SAN DIEGO, CA 92117-6930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2545
CA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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