Individual
PANNAWIT PAMUANGMOON ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMTC #82109
Contact information
Practice address
14163 HUBBARD ST, SYLMAR, CA 91342-4713
(424) 625-5944
Mailing address
14163 HUBBARD ST, SYLMAR, CA 91342-4713
(424) 625-5944
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82109
CA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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