Individual
MRS. DOROTHY SUSAN SHOFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASSAGE TH
Contact information
Practice address
1607 E LINCOLN AVE STE A, ORANGE, CA 92865-1958
(714) 921-9777
Mailing address
1235 E LINCOLN AVE APT 502, ANAHEIM, CA 92805-4266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47130
CA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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