Krittussapon Kheawbua

NPI #1194473710 in Hawthorne, California

Provider Information

NPI Number: 1194473710
Entity Type: Individual
Name: Krittussapon Kheawbua
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 14, 2022
Last Updated: Mar 14, 2022

Practice Location

Address: 14030 CHADRON AVE APT 235
City: Hawthorne
State: California
ZIP Code: 90250-8247
Phone: (310) 456-4999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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