Individual
VINNETTE ANN DETLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
113 S GREEN ST, TEHACHAPI, CA 93561-1716
(661) 527-4146
Mailing address
1105 ALDER AVE, TEHACHAPI, CA 93561-2475
(661) 527-4146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74845
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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