Individual
KANOKWAN SITTIKOSONJIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 MAIN ST, VENICE, CA 90291-2590
(310) 399-5566
Mailing address
919 N AVENUE 67, LOS ANGELES, CA 90042-3003
(626) 464-2665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86777
CA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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