Individual
SUCHANEE KONGSAMOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2901 OCEAN PARK BLVD STE 126, SANTA MONICA, CA 90405-2964
(310) 399-4043
Mailing address
8646 YORKTOWN AVE, LOS ANGELES, CA 90045-4133
(310) 462-3885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88649
CA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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