Individual
MRS. SUPHATTRA DUEMLER DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 E CHAPMAN AVE, ORANGE, CA 92866-1620
(714) 865-5887
Mailing address
604 PARKVIEW DR, LAKE ELSINORE, CA 92530-7025
(714) 685-5887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
31148
CA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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