Provider Demographics
NPI:1417615501
Name:GARCIA-VIRAMONTEZ, DANETTE RENEE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:DANETTE
Middle Name:RENEE
Last Name:GARCIA-VIRAMONTEZ
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7415 N CEDAR AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3834
Mailing Address - Country:US
Mailing Address - Phone:559-593-8371
Mailing Address - Fax:559-440-1825
Practice Address - Street 1:7415 N CEDAR AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3834
Practice Address - Country:US
Practice Address - Phone:559-440-1811
Practice Address - Fax:559-440-1825
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist