MEDICARE: DARLENE E HARVEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	52030	CA

General Provider Information

NPI Number	:	1285032185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE E HARVEY

Provider Business Mailing Address
First Line	:	2625 STAGECOACH TRL
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1120
Country	:	US
Telephone Number	:	909-354-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 STAGECOACH TRL
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1120
Country	:	US
Telephone Number	:	909-354-0111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2014
Last Update Date	:	12/09/2014

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Directions to “ DARLENE E HARVEY ” Practice Location

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