Individual
RONALD CHARLES HALIBURTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8033 1/2 70TH ST, PARAMOUNT, CA 90723-5440
(562) 341-8325
Mailing address
8033 1/2 70TH ST, PARAMOUNT, CA 90723-5440
(562) 341-8325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88527
CA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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