Krittussapon Kheawbua
Krittussapon Kheawbua is a Massage Therapist in Hawthorne, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
14030 Chadron Ave Apt 235Hawthorne, CA 90250-8247
Phone: (310) 456-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 85742 (CA) |
|---|
Record details
| NPI number | 1194473710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
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