Individual
SOMJINTANA RUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4509 18TH ST, SAN FRANCISCO, CA 94114-1831
(858) 263-8778
Mailing address
4509 18TH ST, SAN FRANCISCO, CA 94114-1831
(858) 263-8778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62666
CA
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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