Individual
GUINEVERE Y HITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3759 BANCROFT ST, SAN DIEGO, CA 92104-3707
(619) 733-0579
Mailing address
3759 BANCROFT ST, SAN DIEGO, CA 92104-3707
(619) 733-0579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27656
CA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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