Individual
DANIELLE VITOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 VICTORY BLVD, GLENDALE, CA 91201-2915
(818) 244-7600
(818) 244-6400
Mailing address
1620 VICTORY BLVD, GLENDALE, CA 91201-2915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
679
CA
Other
Enumeration date
03/09/2010
Last updated
03/24/2010
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