Individual
TIPPAWON CHAIBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7937 VANTAGE AVE, NORTH HOLLYWOOD, CA 91605-2411
(818) 423-6982
Mailing address
7937 VANTAGE AVE, NORTH HOLLYWOOD, CA 91605-2411
(818) 423-6982
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75623
CA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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