Individual
MRS. ASUKA MOROOKA PHEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
5151 PACIFIC AVENUE, STOCKTON, CA 95207
(209) 954-5181
Mailing address
9202 WHITE WATER LANE, STOCKTON, CA 95219
(530) 720-7576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
08/06/2021
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