Individual
KWANGJIN SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 HEADQUARTERS DR STE 180, PLANO, TX 75024-0019
(469) 626-8919
Mailing address
5151 HEADQUARTERS DR STE 180, PLANO, TX 75024-0019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127399
TX
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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