Individual
LORRAINE MARY HESLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
12555 MARIPOSA RD STE J, VICTORVILLE, CA 92395-6010
(909) 638-1518
Mailing address
16380 SOLVANG AVE # 16380, VICTORVILLE, CA 92394-1163
(909) 712-8046
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90904
CA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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