| Mr Chanachon Srisaard, | |
|
21500 Lassen St Spc 143, Chatsworth, CA 91311-0832 | |
| (818) 614-8522 | |
| Not Available |
| Full Name | Mr Chanachon Srisaard |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 21500 Lassen St Spc 143, Chatsworth, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790614162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 83732 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chanachon Srisaard, 21500 Lassen St Spc 143, Chatsworth, CA 91311-0832 Ph: (818) 614-8522 | Mr Chanachon Srisaard, 21500 Lassen St Spc 143, Chatsworth, CA 91311-0832 Ph: (818) 614-8522 |
Genesis Espitia, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21051 Lassen St Apt 29, Chatsworth, CA 91311 Phone: 818-966-5870 |
Aleksandra Iamanovskaia, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 20060 Prairie St Apt 113, Chatsworth, CA 91311 Phone: 747-366-9057 |