Search › California › 2255A2300X
Jevon Hetland, ATC
NPI 1275982480 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2222 N Santiago Blvd
Orange, CA 92867 - Phone
- (714) 998-5151
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California