Individual
MRS. RATDA PHASOMBOON DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT 80490
Contact information
Practice address
16801 MOODY CIR APT B, HUNTINGTON BEACH, CA 92649-4048
(907) 351-3278
Mailing address
16801 MOODY CIR APT B, HUNTINGTON BEACH, CA 92649-4048
(907) 351-3278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80490
CA
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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