Individual
CHACHADAPORN PLATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 N 2ND ST, EL CAJON, CA 92021-5024
(619) 440-2440
Mailing address
9582 LARRABEE AVE, SAN DIEGO, CA 92123-3616
(858) 285-5300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86592
CA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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