Individual
HEATHER WILDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1244 E MARCELLA LN, GILBERT, AZ 85295-1765
(602) 733-0748
Mailing address
1244 EAST MARCELLA LANE, GILBERT, AZ 85295
(602) 733-0748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17668
FL
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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