Individual
DEANNDRA DONNETTE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4512 OREGON ST, #7, SAN DIEGO, CA 92116-4919
(619) 997-7022
Mailing address
4512 OREGON ST, #7, SAN DIEGO, CA 92116-4919
(619) 997-7022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
989
CA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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