Petcharin Mathison

NPI #1184056699 in Simi Valley, California

Provider Information

NPI Number: 1184056699
Entity Type: Individual
Name: Petcharin Mathison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 5956 E LOS ANGELES AVE STE 4
City: Simi Valley
State: California
ZIP Code: 93063-4369
Phone: (805) 522-5552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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