Individual
MICHELLE R DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 E ORANGETHORPE AVE, PLACENTIA, CA 92870-5302
(714) 996-1551
Mailing address
1301 E ORANGETHORPE AVE, PLACENTIA, CA 92870-5302
(714) 996-1551
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN424206
CA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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