Individual provider · Type 1 NPI

Sourigna Berna Phan

Massage Therapist · Corona, CA

NPI number 1972024792 Active

Practice location

800 Magnolia Ave Ste 105
Corona, CA 92879-3123

Call (951) 905-0454 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X70935 (CA)

Massage Therapist: 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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About NPI 1972024792

Sourigna Berna Phan's National Provider Identifier is 1972024792, issued on Jun 30, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Corona, CA. The record was last updated on Jul 21, 2022.