Individual
RAO SCHUPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 PRAIRIE CITY RD, FOLSOM, CA 95630-9582
(916) 916-8050
Mailing address
12 WHEELHOUSE CT, SACRAMENTO, CA 95833-9639
(916) 591-6400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58378
CA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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