Loretta Lary

NPI #1710165733 in Vallejo, California

Provider Information

NPI Number: 1710165733
Entity Type: Organization
Organization Name: Loretta Lary
Primary Specialty: Massage Therapist
Enumeration Date: Jan 31, 2008
Last Updated: Jul 29, 2008

Practice Location

Address: 391 SAWYER ST
City: Vallejo
State: California
ZIP Code: 94589-2040
Phone: (707) 334-9724

Authorized Official

Name: MISS LORETTA LARY
Title: OWNER
Phone: (707) 334-9724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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