Individual
JANEISA TADONGDOUONNANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
351 WARTHAN ST APT 120, COALINGA, CA 93210-2654
(559) 404-9387
Mailing address
529 PEPPER DR APT A, HANFORD, CA 93230-3337
(559) 404-9387
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
225700000X
Massage Therapist
92180
CA
Other
Enumeration date
08/19/2021
Last updated
06/07/2024
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