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Individual

NATTHANAN THIRARUTNALINTHANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18910 VENTURA BLVD, TARZANA, CA 91356-2024
(619) 964-5169
Mailing address
4750 KESTER AVE APT 24, SHERMAN OAKS, CA 91403-2024
(619) 964-5169

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71717
CA

Other

Enumeration date
10/17/2022
Last updated
03/25/2024
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