Individual
LINDA SHIRLEY REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 E IMPERIAL HWY # 485, PLACENTIA, CA 92870-1717
(714) 865-2780
Mailing address
1057 E IMPERIAL HWY # 485, PLACENTIA, CA 92870-1717
(714) 865-2780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1272
CA
225700000X
Massage Therapist
2002013157
MO
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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