Individual
MRS. MICHELLE ELISE LEMAY-HUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 N 1ST ST STE E, BLYTHE, CA 92225-1777
(760) 921-3722
Mailing address
14321 S C AND D BLVD, BLYTHE, CA 92225-9147
(760) 921-2133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 1767
CA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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