Individual
MR. GLEN SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1039 FOOTHILL BLVD # A, LA CANADA, CA 91011-3249
(818) 288-6604
Mailing address
1039 FOOTHILL BLVD # A, LA CANADA, CA 91011-3249
(818) 288-6604
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 12916
CA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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