Individual
MICHELLE ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14926 BROOKTREE ST, EASTVALE, CA 92880-3934
(714) 561-5984
Mailing address
14926 BROOKTREE ST, EASTVALE, CA 92880-3934
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
174400000X
Specialist
—
—
225700000X
Massage Therapist
Primary
28402
CA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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