Individual
AMANDA WHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12551 HEARTLEAF ST, MORENO VALLEY, CA 92553-4761
(951) 403-7469
Mailing address
12551 HEARTLEAF ST, MORENO VALLEY, CA 92553-4761
(951) 403-7469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81004
CA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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