Individual
PRAPHAIPHAN(MARIA) WONGSUWAN-XENOPHONTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1735 SPRUCE ST STE E, RIVERSIDE, CA 92507-2352
(627) 421-8875
Mailing address
1303 E CENTRAL AVE UNIT B, REDLANDS, CA 92374-4010
(626) 421-8875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
66452
CA
Other
Enumeration date
10/09/2024
Last updated
04/12/2026
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