GLORY FUNG

IRVINE, CA
NPI1871996512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  070302088)
Enumeration Date2014-10-08
Last Update Date2014-10-08
Business Address
-- GLORY FUNG ATC
1530 CONCORDIA
IRVINE, CA 92612-3203
Phone number: 949-214-3245
Mailing Address
-- GLORY FUNG ATC
1530 CONCORDIA
IRVINE, CA 92612-3203
Phone number: 949-214-3245
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