Wanchai Chuangsamrong
Wanchai Chuangsamrong is a Licensed Practical Nurse in San Bruno, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
315 Palomar CtSan Bruno, CA 94066-4711
Phone: (415) 490-6434
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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 89210 (CA) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence 288518 (CA) |
Record details
| NPI number | 1881313492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 25, 2022 |
| Last updated in NPPES | August 25, 2022 |
| Certification date | August 25, 2022 |