KENNAN THOMAS RUNTE

GRASS VALLEY, CA
NPI1134196751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E37870)
Enumeration Date2006-03-02
Last Update Date2007-07-08
Business Address
-- KENNAN THOMAS RUNTE DPM
123 MARGARET LANE STE B-1
GRASS VALLEY, CA 95945
Phone number: 530-477-7200
Mailing Address
-- KENNAN THOMAS RUNTE DPM
123 MARGARET LANE STE B-1
GRASS VALLEY, CA 95945
Phone number: 530-477-7200