Individual
CHOTIKA PORNPHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22032 N 74TH LN, GLENDALE, AZ 85310-5637
(469) 915-6565
Mailing address
22032 N 74TH LN, GLENDALE, AZ 85310-5637
(469) 915-6565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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