| Otis Donovan Herring, | |
|
3041 W 7th St Apt 526, Los Angeles, CA 90005-4120 | |
| (404) 457-9557 | |
| Not Available |
| Full Name | Otis Donovan Herring |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3041 W 7th St Apt 526, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538984893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 97114 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Otis Donovan Herring, 3041 W 7th St Apt 526, Los Angeles, CA 90005-4120 Ph: Not Available | Otis Donovan Herring, 3041 W 7th St Apt 526, Los Angeles, CA 90005-4120 Ph: (404) 457-9557 |
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