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Individual

MRS. SUZUKO HAMAMOTO-DERESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
883 SNEATH LN, SUITE 221, SAN BRUNO, CA 94066-2409
(850) 438-0621
(650) 872-3253
Mailing address
883 SNEATH LN, SUITE 221, SAN BRUNO, CA 94066-2409
(650) 872-3253
(650) 872-3253

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
NO STATE LICENSE REQ
CA

Other

Enumeration date
06/15/2008
Last updated
06/15/2008
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