Individual
SUTHASITH TEPRASEUTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
3540 NORTHWOOD DR, CONCORD, CA 94520-7711
(209) 406-9402
Mailing address
3540 NORTHWOOD DR, CONCORD, CA 94520-4536
(209) 406-9402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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