Lee, Shukyeon
Lee, Shukyeon is an sole proprietor health care provider with primary practice located at 9773 Sierra Ave # H7 , Fontana CA 92335-6716. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lee, Shukyeon can be contacted via phone (909) 829-2349.Contact Information
Primary practice address
9773 Sierra Ave # H7
Fontana CA 92335-6716
Phone: (909) 829-2349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 82855 | California |
Profile Details
| NPI number | 1003580531 |
|---|---|
| LBN Legal business name | Lee, Shukyeon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2021 |
| Last updated | Aug 7th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003580531 | NPPES |
| California | Other | 82855 | THERAPEUTIC MASSAGE |
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