Individual
BRYSON T HENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 N VERDUGO RD APT 251, GLENDALE, CA 91208-2968
(512) 917-4913
Mailing address
1717 N VERDUGO RD APT 251, GLENDALE, CA 91208-2968
(512) 917-4913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88924
CA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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