Individual
TRISTA DORA LOUTSENHIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58923 BUSINESS CENTER DR STE E, YUCCA VALLEY, CA 92284-7311
(760) 399-0565
Mailing address
58923 BUSINESS CENTER DR STE E, YUCCA VALLEY, CA 92284-7311
(760) 399-0565
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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