Individual
SOMSONG KHOPENGKLANG BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 HACIENDA DR, RIVERSIDE, CA 92507-6039
(951) 505-2701
Mailing address
729 HACIENDA DR, RIVERSIDE, CA 92507-6039
(951) 505-2701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
52269
CA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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