| Jirisuda Pisuthiprakorn, | |
|
13691 Gavina Ave Unit 567, Sylmar, CA 91342-2670 | |
| (818) 644-1995 | |
| (818) 591-8426 |
| Full Name | Jirisuda Pisuthiprakorn |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 13691 Gavina Ave Unit 567, Sylmar, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598579930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 84208 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jirisuda Pisuthiprakorn, 13691 Gavina Ave Unit 567, Sylmar, CA 91342-2670 Ph: (818) 644-1995 | Jirisuda Pisuthiprakorn, 13691 Gavina Ave Unit 567, Sylmar, CA 91342-2670 Ph: (818) 644-1995 |
Pannawit Pamuangmoon Romero, CAMTC #82109 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 14163 Hubbard St, Sylmar, CA 91342 Phone: 424-625-5944 |
Bryan Reyes, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12774 De Garmo Ave, Sylmar, CA 91342 Phone: 818-288-2932 |
Rigoberto R Gutierrez, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12204 Claretta St # 601b, Sylmar, CA 91342 Phone: 562-489-5332 |