Individual
MR. JEERASIT TOSAWAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 1/2 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90004-5806
(323) 552-2033
Mailing address
108 1/2 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90004-5806
(323) 552-2033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86784
MASSAGE THERAPIST
CA
Enumeration date
05/25/2022
Last updated
05/25/2022
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