Individual
CHANTHAN BUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
5 ROCKY RIVER CT, SACRAMENTO, CA 95831-3768
(916) 600-5574
Mailing address
5 ROCKY RIVER CT, SACRAMENTO, CA 95831-3768
(916) 628-8413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91569
CA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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