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Pornsuda Dokthonghom
Massage Therapist in Marina Del Rey, California
NPI 1770245342

Pornsuda Dokthonghom is a Massage Therapist based in Los Angeles, CA. Pornsuda Dokthonghom practices in Marina Del Rey, CA. The NPI Number for Pornsuda Dokthonghom is 1770245342 and holds a License No. 83900 (California).

The current practice location address for Pornsuda Dokthonghom is 13456 Washington Blvd, Marina Del Rey, CA and can be reached out via phone at 916-847-9429.

Location: 13456 Washington Blvd, Marina Del Rey, CA, 90064-5213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770245342
Provider Name
Pornsuda Dokthonghom
Credential
Provider Entity Type
Individual
Gender
Female
Address
13456 Washington Blvd, Marina Del Rey, CA, 90064-5213
Phone Number
916-847-9429
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13456 Washington Blvd
City
Marina Del Rey
State
California
Zip
90292-5626
Phone Number
916-847-9429
Fax Number
person
Provider Business Mailing Address Details
Address
13456 Washington Blvd
City
Marina Del Rey
State
California
Zip
90292-5626
Phone Number
916-847-9429
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
83900 (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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