Nunthicha Mongkolla, | |
11740 San Vicente Blvd, Los Angeles, CA 90049-6610 | |
(310) 442-1901 | |
Not Available |
Full Name | Nunthicha Mongkolla |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 11740 San Vicente Blvd, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487329058 | NPI | - | NPPES |
86844 | Other | CA | MASSAGE THERAPIST CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 86844 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nunthicha Mongkolla, 3200 E 3rd St, Los Angeles, CA 90063-3014 Ph: (213) 559-7131 | Nunthicha Mongkolla, 11740 San Vicente Blvd, Los Angeles, CA 90049-6610 Ph: (310) 442-1901 |
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