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NPI Code Detail

MEDICARE: RONNI BARRIOS

MEDICARE:   RONNI  BARRIOS
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 Therapist78153CA

General Provider Information

NPI Number : 1619622511
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONNI BARRIOS
Provider Business Mailing Address
First Line : 5019 TYLER ST
Second Line :
City : CHINO
State : CA
Zip : 91710-3435
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5019 TYLER ST
Second Line :
City : CHINO
State : CA
Zip : 91710-3435
Country : US
Telephone Number : 909-580-0395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2022
Last Update Date : 02/18/2022

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Directions to “ RONNI BARRIOS ” Practice Location

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