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NPI Profile for THANUTTHA TIENSAWANG in CANOGA PARK, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Enterostomal Therapy |
163WE0900X |
| NPI # | 1376703603 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/10/2008 | |
| Last updated | 06/10/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THANUTTHA TIENSAWANG
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THANUTTHA TIENSAWANG, RN