Organization
LORETTA LARY
Active
Other names
Prince;s Medical Billing Service
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORETTA LARY (OWNER)
(707) 334-9724
Entity
Organization
Contact information
Practice address
391 SAWYER ST, VALLEJO, CA 94589-2040
(707) 334-9724
(707) 644-4219
Mailing address
391 SAWYER ST, VALLEJO, CA 94589-2040
(707) 334-9724
(707) 644-4219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
07/29/2008
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