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Individual
WANCHAI CHUANGSAMRONG
Active
Individual
WANCHAI CHUANGSAMRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
288518
CA
225700000X
Massage Therapist
Primary
89210
CA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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