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Organization

VIVIAN G LONZANIDA CMP EMT LLC

Active
Other names
Vivian G Lonzanida CMP EMT LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VIVIAN GRACE LONZANIDA WAS AKA CRUZ CMP, EMT,CMT (LLC/SOLE PROP)
(707) 655-0454
Entity
Organization

Contact information

Practice address
301 GEORGIA ST, SUITE 230, VALLEJO, CA 94590-5946
(707) 655-0454
(707) 647-2604
Mailing address
301 GEORGIA ST, SUITE 230, VALLEJO, CA 94590-5946
(707) 647-2604
(707) 647-2604

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
09-00006549
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1586325
INTERGRATED NEUROMUSCULAR RE-EDUCATION/CROSS COUNTRY EDUCATION
CA
01
4/3/07 7 ; 8/1/07
FAEMT.ORG/ CERT. LEVEL 1 AND 2 ENERGY MED TECH. LYMPHATIC DECOGESTIVE THERAPY
01
7253
CALIFORNIA MASSAGE THERAPY COUNCIL/ CERT. MASSAGE PRACTITIONER
CA
Enumeration date
06/02/2008
Last updated
01/12/2013
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