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Individual

RONN CANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-3793
Mailing address
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
95034438
CA

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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