Individual
SUPARADA DUANGSUKDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 ARMACOST AVE, LOS ANGELES, CA 90064-3504
(626) 278-2604
Mailing address
2740 ARMACOST AVE, LOS ANGELES, CA 90064-3504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
68650
CA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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