Ms Chalisa Thavonrungkit, | |
5440 Carlton Way Apt 105, Los Angeles, CA 90027-4878 | |
(213) 268-1246 | |
Not Available |
Full Name | Ms Chalisa Thavonrungkit |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5440 Carlton Way Apt 105, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497353940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 76682 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Chalisa Thavonrungkit, 5440 Carlton Way Apt 105, Los Angeles, CA 90027-4878 Ph: (213) 268-1246 | Ms Chalisa Thavonrungkit, 5440 Carlton Way Apt 105, Los Angeles, CA 90027-4878 Ph: (213) 268-1246 |
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