Individual
MRS. IRIS PENA-TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
5 LAGO SUD, IRVINE, CA 92612-2625
(708) 261-9166
Mailing address
5 LAGO SUD, IRVINE, CA 92612-2625
(708) 261-9166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73932
CA
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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