Individual
DEIDRA NOTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1587 MYRTLE AVE, EUREKA, CA 95501-1453
(707) 441-1931
Mailing address
1587 MYRTLE AVE, EUREKA, CA 95501
(707) 441-1931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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