Tiensawang, Thanuttha
Tiensawang, Thanuttha is an sole proprietor health care provider with primary practice located at 21529 Saticoy St Unit #106, Canoga Park CA 91304-4958. He recently has only one registered license in Nursing Service Providers / Enterostomal Therapy, which is considered as his primary health care specialty. Tiensawang, Thanuttha can be contacted via phone (310) 478-3711.Contact Information
Primary practice address
21529 Saticoy St Unit #106
Canoga Park CA 91304-4958
Phone: (310) 478-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Enterostomal Therapy | 163WE0900X | 545790 | California |
Profile Details
| NPI number | 1376703603 |
|---|---|
| LBN Legal business name | Tiensawang, Thanuttha |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Jun 10th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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