Individual
JUDY SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 CLAIREMONT MESA BLVD, SUITE 200, SAN DIEGO, CA 92123-1234
(800) 787-6787
(800) 787-6762
Mailing address
PO BOX 17860, SAN DIEGO, CA 92177-7860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13112
CA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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