Individual
PENGHAN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W GRANGER AVE, MODESTO, CA 95350-4425
(209) 818-1354
Mailing address
5514 HARWOOD LN, RIVERBANK, CA 95367-0928
(626) 200-9773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96527
CA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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