Individual
SUPINDA SIRIHEKAPHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6259 ADOBE RD # A-1, TWENTYNINE PALMS, CA 92277-2649
(760) 206-6467
Mailing address
6259 ADOBE RD # A-1, TWENTYNINE PALMS, CA 92277-2649
(760) 206-6467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
95831
CA
374J00000X
Doula
Primary
13013
IL
Other
Enumeration date
08/22/2022
Last updated
10/15/2024
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