Shukyeon Lee is a Massage Therapist based in Fontana, CA. Shukyeon Lee practices in Fontana, CA. The NPI Number for Shukyeon Lee is 1003580531 and holds a License No. 82855 (California).
The current practice location address for Shukyeon Lee is 9773 Sierra Ave # H7, Fontana, CA and can be reached out via phone at 909-829-2349.
Location: 9773 Sierra Ave # H7, Fontana, CA, 92335-6716
Provider Profile Details
NPI Number
1003580531
Provider Name
Shukyeon Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
9773 Sierra Ave # H7, Fontana, CA, 92335-6716
Phone Number
909-829-2349
Fax Number
Provider Enumeration Date
08/07/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82855 | 01 | CA | THERAPEUTIC MASSAGE |
Provider Business Practice Location Address Details
Address
9773 Sierra Ave # H7
City
State
Zip
92335-6716
Phone Number
909-829-2349
Fax Number
Provider Business Mailing Address Details
Address
9773 Sierra Ave # H7
City
State
Zip
92335-6716
Phone Number
909-829-2349
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
82855 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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