Individual
MR. RONALD BYRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4648 GUAVA AVE, SEAL BEACH, CA 90740-2942
(562) 256-7550
Mailing address
4648 GUAVA AVE, SEAL BEACH, CA 90740-2942
(562) 256-7550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4732
—
CA
Enumeration date
05/09/2012
Last updated
05/09/2012
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