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Nunthicha Mongkolla
Massage Therapist in Los Angeles, California
NPI 1487329058

Nunthicha Mongkolla is a Massage Therapist based in Los Angeles, CA. Nunthicha Mongkolla practices in Los Angeles, CA. The NPI Number for Nunthicha Mongkolla is 1487329058 and holds a License No. 86844 (California).

The current practice location address for Nunthicha Mongkolla is 11740 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-442-1901.

Location: 11740 San Vicente Blvd, Los Angeles, CA, 90063-3014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487329058
Provider Name
Nunthicha Mongkolla
Credential
Provider Entity Type
Individual
Gender
Female
Address
11740 San Vicente Blvd, Los Angeles, CA, 90063-3014
Phone Number
310-442-1901
Fax Number
Provider Enumeration Date
08/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86844 01 CA MASSAGE THERAPIST CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
11740 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6610
Phone Number
310-442-1901
Fax Number
person
Provider Business Mailing Address Details
Address
11740 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6610
Phone Number
310-442-1901
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
86844 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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