Individual
PANNEE UTHAIRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
644 9TH AVE APT 4FN, NEW YORK, NY 10036-3648
(347) 899-7937
Mailing address
644 9TH AVE APT 4FN, NEW YORK, NY 10036-3648
(347) 899-7937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029690
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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