Individual
MRS. DEBORAH MICHELLE FYVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT,LMT
Contact information
Practice address
265 LILAC LN, COSTA MESA, CA 92627-1806
(949) 887-1845
Mailing address
265 LILAC LN, COSTA MESA, CA 92627-1806
(949) 887-1845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21267
CA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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