Individual
MR. LERTCHAI RATTANAMETHANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
5845 DOVERWOOD DR UNIT 213, CULVER CITY, CA 90230-7216
(310) 793-6277
Mailing address
5845 DOVERWOOD DR UNIT 213, CULVER CITY, CA 90230-7216
(310) 793-6277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81
CA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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