Individual
JUTTRAPORN HOMSOMBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9432 LAS TUNAS DR APT A, TEMPLE CITY, CA 91780-2148
(162) 663-6465
Mailing address
9432 LAS TUNAS DR APT A, TEMPLE CITY, CA 91780-2148
(162) 663-6465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2169
CA
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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