Individual
PORNPIROON CHEYIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 W OLIVE AVE, BURBANK, CA 91506-2627
(661) 441-1449
Mailing address
9768 CEDROS AVE, PANORAMA CITY, CA 91402-1027
(661) 441-1449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47725
CA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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