Individual
NARISSA TAENGTHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13411 MOORPARK ST APT 2, SHERMAN OAKS, CA 91423-3967
(323) 434-9057
Mailing address
13411 MOORPARK ST APT 2, SHERMAN OAKS, CA 91423-3967
(323) 434-9057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53266
CA
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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