SHAUN KAINOA TAM

MODESTO, CA
NPI1184441552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
SHAUN KAINOA TAM
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
Mailing Address
SHAUN KAINOA TAM
4121 DALE RD APT 71
MODESTO, CA 95356-8603
Phone number: