Individual
ALEXANDRIA DEVON HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
441 E CARSON ST STE J, CARSON, CA 90745-7712
(424) 392-4984
Mailing address
441 E CARSON ST STE J, CARSON, CA 90745-7712
(424) 392-4984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79874
CA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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