Individual
SANTA LUANGKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3000
(925) 935-4866
Mailing address
1419 WALNUT ST APT F, ALAMEDA, CA 94501-2819
(510) 517-0886
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86997
CA
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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