Most Relevant Information
Provider Data
| NPI Number: | 1003667627 |
| Provider Name: | CECILE SAKURA SUNAHARA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2024 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
3665 KEARNY VILLA RD STE 101
SAN DIEGO
CA
921231954
Practice Location Phone/Fax
| Phone: | 8589665832 |
| Fax: | 8589666733 |
Provider Mailing Location
200 W ARBOR DR # 737
SAN DIEGO
CA
921031911
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |