Individual
THERESA JANELLE-HETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAMTC #58614
Contact information
Practice address
23541 CALLE DE LA LOUISA STE B, LAGUNA HILLS, CA 92653-3605
(949) 534-2767
Mailing address
6243 ADOBE CIR, IRVINE, CA 92617-5103
(603) 345-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58614
CA
Other
Enumeration date
05/17/2018
Last updated
08/11/2020
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