Individual
SAVOEUN PROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
8807 THORNTON RD, STOCKTON, CA 95209-1864
(209) 629-5005
Mailing address
1017 HAMLET CT, STOCKTON, CA 95209-1954
(209) 629-5005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99454
CA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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