Organization
THAI SPORT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANI NUENGDANJAK CMT (PRESIDENT)
(858) 519-7867
Entity
Organization
Contact information
Practice address
11300 SORRENTO VALLEY RD STE 105, SAN DIEGO, CA 92121-1329
(858) 519-7867
Mailing address
11300 SORRENTO VALLEY RD STE 105, SAN DIEGO, CA 92121-1329
(858) 519-7867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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