Individual
PRANOM NIKKI HORKAEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5649 N PALM AVE, FRESNO, CA 93704-1851
(559) 227-1777
Mailing address
4519 E HOLLAND AVE, FRESNO, CA 93726-2713
(559) 554-8094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86671
CA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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