Individual
TIMOTHY RICHARD HEEGE-GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 S CURSON AVE, LOS ANGELES, CA 90016-1103
(952) 688-8593
Mailing address
1900 S CURSON AVE, LOS ANGELES, CA 90016-1103
(952) 688-8593
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
97291
CA
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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