Individual
TONNY VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 S 2ND ST, ALHAMBRA, CA 91803-4002
(310) 737-2628
Mailing address
2015 S 2ND ST, ALHAMBRA, CA 91803-4002
(310) 739-3545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89356
CA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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