Individual
VICTORIA EILEEN RUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10605 EMPIRE DR, PACOIMA, CA 91331-2040
(747) 218-3173
Mailing address
PO BOX 301, LA CANADA, CA 91012-0301
(747) 218-3173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
68571
CA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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