Individual
JORGE HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3122 BLYTHE AVE, HIGHLAND, CA 92346-1618
(909) 979-0199
Mailing address
3122 BLYTHE AVE, HIGHLAND, CA 92346-1618
(909) 979-0199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77774
CA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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