Individual
SHUGUANG FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2707 E VALLEY BLVD,217, STE 217, WEST COVINA, CA 91792
(951) 371-8888
Mailing address
4429 BARTLETT AVE, ROSEMEAD, CA 91770-1119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28485
CA
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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