Individual
HETTIE RACHELLE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5152 HEIL AVE APT 22, HUNTINGTON BEACH, CA 92649-3647
(714) 756-0603
Mailing address
5152 HEIL AVE APT 22, HUNTINGTON BEACH, CA 92649-3647
(714) 756-0603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77684
CA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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