Individual
JULATIP SOMKAOYAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, MMP, MLD-C/PS
Contact information
Practice address
1829 GLENWOOD LN, NEWPORT BEACH, CA 92660-4318
(949) 664-0690
Mailing address
1829 GLENWOOD LN, NEWPORT BEACH, CA 92660-4318
(949) 664-0690
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6220
CA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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