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Individual

MS. BENJAWAN PUNYAPORN

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
121 S HOPE ST APT 330, LOS ANGELES, CA 90012-5017
(959) 465-6542

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67166
CA

Other

Enumeration date
02/07/2026
Last updated
02/19/2026
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