Individual
MICAH DANIEL HIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1128 S REED AVE, REEDLEY, CA 93654-3726
(559) 638-2529
Mailing address
4513 AVENUE 410, DINUBA, CA 93618-9712
(559) 393-9941
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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