Individual
TONY BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11572 CIELO LN, LOMA LINDA, CA 92354-3707
(909) 747-5885
Mailing address
11572 CIELO LN, LOMA LINDA, CA 92354-3707
(909) 747-5885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79097
CA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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