Individual
MR. GONG WEN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
7151 AMADOR PLAZA RD, DUBLIN, CA 94568-2317
(925) 833-9555
(415) 762-1960
Mailing address
2892 23RD ST, SAN FRANCISCO, CA 94110-3444
(415) 867-7775
(415) 762-1960
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
SC 21939867
CA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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