Individual
HSUNHAO WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4226 EL CAMINO REAL, PALO ALTO, CA 94306-4404
(669) 253-8600
Mailing address
4226 EL CAMINO REAL, PALO ALTO, CA 94306-4404
(669) 253-8600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y3507565
DRIVE LICENSE
CA
Enumeration date
09/12/2020
Last updated
04/30/2024
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