Individual
WATTANA ATCHARIYAWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13509 VENTURA BLVD, SHERMAN OAKS, CA 91423-3877
(818) 929-9562
Mailing address
13509 VENTURA BLVD, SHERMAN OAKS, CA 91423-3877
(818) 929-9562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71017
CA
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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