Most Relevant Information
Provider Data
| NPI Number: | 1003580531 |
| Provider Name: | SHUKYEON LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 82855 |
Most Important Dates
| Enumeration Date: | 08/07/2021 |
| Last Updated: | 08/07/2021 |
Provider Practice Location
9773 SIERRA AVE # H7
FONTANA
CA
923356716
Practice Location Phone/Fax
| Phone: | 9098292349 |
| Fax: |
Provider Mailing Location
9773 SIERRA AVE # H7
FONTANA
CA
923356716
Provider Mailing Phone/Fax
| Phone: | 9098292349 |
| Fax: |