Fuquan Gao

NPI #1134977226 in Big Bear Lake, California

Provider Information

NPI Number: 1134977226
Entity Type: Individual
Name: Fuquan Gao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 42137 1/2 BIG BEAR BLVD #I
City: Big Bear Lake
State: California
ZIP Code: 92315
Phone: (909) 666-1107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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