Individual
SUSAN LY HAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 W DUARTE RD STE 805, ARCADIA, CA 91007-7615
(626) 821-9139
Mailing address
612 W DUARTE RD STE 805, ARCADIA, CA 91007-7615
(626) 821-9139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36510
CA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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