Individual
WIPHA SRIKHAMLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5357 LAZY BREEZE AVE, LAS VEGAS, NV 89118-1462
(702) 624-5653
Mailing address
5357 LAZY BREEZE AVE, LAS VEGAS, NV 89118-1462
(702) 624-5653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9454
NV
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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