Individual
KAVALIN CHAROENRAKSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 ALVARADO CANYON RD, UNIT 14, SAN DIEGO, CA 92120
(858) 308-6394
Mailing address
8883 HAVETEUR WAY, SAN DIEGO, CA 92123
(619) 243-6417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95239
CA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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