Individual
RANDY GANOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3452 ARGYLE RD, REDDING, CA 96002-9513
(530) 440-8354
Mailing address
7160 HERMOSA WAY, REDDING, CA 96002-9743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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