Individual
DENNIS DESERVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 W ACACIA AVE, HEMET, CA 92545-3743
(951) 766-5116
Mailing address
622 ROSE THORN CIR, SAN JACINTO, CA 92582-6934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8414
CA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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