Individual
MR. WARAKORN THEPSUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 26TH AVE APT 8, SAN FRANCISCO, CA 94121-1153
(415) 632-7131
Mailing address
270 26TH AVE APT 8, SAN FRANCISCO, CA 94121-1153
(415) 632-7131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76878
CA
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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