Individual
MR. BRUCE KAZUFUSA SHIBAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, GCFP
Contact information
Practice address
544 LAIDLEY ST, SAN FRANCISCO, CA 94131-3040
(415) 269-4579
Mailing address
544 LAIDLEY ST, SAN FRANCISCO, CA 94131-3040
(415) 584-4520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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