Provider Demographics
NPI:1275819583
Name:HESTER, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:HESTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16085 TUSCOLA RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1358
Mailing Address - Country:US
Mailing Address - Phone:760-927-7444
Mailing Address - Fax:
Practice Address - Street 1:16085 TUSCOLA RD
Practice Address - Street 2:SUITE #1
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1358
Practice Address - Country:US
Practice Address - Phone:760-927-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1203225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist