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NPI Code Detail

MEDICARE: DANIELLE VITOLO

MEDICARE: DANIELLE VITOLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist679CA

General Provider Information

NPI Number : 1164745915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE VITOLO
Provider Business Mailing Address
First Line : 1620 VICTORY BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1620 VICTORY BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2915
Country : US
Telephone Number : 818-244-7600
Fax Number : 818-244-6400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/24/2010

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Directions to “ DANIELLE VITOLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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