Narran Wongwatanavikrom
Massage Therapist in Oceanside, CA. Individual provider (NPI-1).
NPI number1942014253
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1942014253
- Entity type
- Individual (NPI-1)
- Name
- Narran Wongwatanavikrom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2025
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 97982 | CA | Yes |
Practice location
4369 Pacifica Way Unit 7Oceanside, CA 92056-5778
Phone 619-859-5955
Mailing address
4369 Pacifica Way Unit 7Oceanside, CA 92056-5778
Phone 619-859-5955
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