Individual
HEIDI CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 MORSE AVE, SUNNYVALE, CA 94085-4330
(408) 505-7387
Mailing address
377 MORSE AVE, SUNNYVALE, CA 94085-4330
(408) 505-7387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
51684
CA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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