Individual
HEATHER DEANNA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3107 LIVONIA AVE, UNIT 1, LOS ANGELES, CA 90034
(310) 467-1102
Mailing address
PO BOX 5080, SANTA MONICA, CA 90409-5080
(310) 467-1102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
15012
OR
225700000X
Massage Therapist
Primary
190
CA
Other
Enumeration date
12/01/2008
Last updated
04/29/2021
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