Individual
JONAH HENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 W CRYSTAL VIEW AVE, ORANGE, CA 92865-2212
(319) 230-1942
Mailing address
209 W CRYSTAL VIEW AVE, ORANGE, CA 92865-2212
(319) 230-1942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72762
CA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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