Individual
MS. HASSANAN SUTHTHEEPRAPHASAWASDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HARDING BOULEVARD, ROSEVILLE, CA 95678
(818) 966-4464
Mailing address
7652 CLEMENT CIRCLE, SACRAMENTO, CA 95828
(818) 966-4464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CERT94359ID166632
CA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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