person
Mr. Thanuttha Tiensawang, RN
Enterostomal Therapy Registered Nurse in Canoga Park, California
NPI 1376703603

Thanuttha Tiensawang is a Enterostomal Therapy Registered Nurse based in Canoga Park, CA and is specialized in Enterostomal Therapy. Thanuttha Tiensawang practices in Canoga Park, CA and has the professional credentials of RN. The NPI Number for Thanuttha Tiensawang is 1376703603 and holds a License No. 545790 (California).

The current practice location address for Thanuttha Tiensawang is 21529 Saticoy St, Canoga Park, CA and can be reached out via phone at 310-478-3711. You can also correspond with Thanuttha Tiensawang through the mailing address at 21529 SATICOY ST, CANOGA PARK, CA - 91304-4958 (mailing address contact number: 310-478-3711).

Location: 21529 Saticoy St, Canoga Park, CA, 91304-4958
person
Provider Profile Details
NPI Number
1376703603
Provider Name
Thanuttha Tiensawang
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
21529 Saticoy St, Canoga Park, CA, 91304-4958
Phone Number
310-478-3711
Fax Number
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21529 Saticoy St
City
State
Zip
91304-4958
Phone Number
310-478-3711
Fax Number
person
Provider Business Mailing Address Details
Address
21529 Saticoy St
City
State
Zip
91304-4958
Phone Number
310-478-3711
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Enterostomal Therapy
Taxonomy
License No.
545790 (California)
Definition
Definition to come...
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