Individual
SEAN PATRICK SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
1578 E SHEA DR, FRESNO, CA 93720
(559) 905-6358
Mailing address
1578 E SHEA DR, FRESNO, CA 93720
(559) 905-6358
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT 30042
CA
Other
Enumeration date
05/02/2007
Last updated
03/18/2008
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