EKKAPHOT PHANTHONG

CONCORD, CA
NPI1306545413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CA  80047)
Enumeration Date2023-02-27
Last Update Date2023-02-27
Business Address
EKKAPHOT PHANTHONG
1790 ELLIS ST APT 24
CONCORD, CA 94520-2747
Phone number: 443-236-6919
Mailing Address
EKKAPHOT PHANTHONG
1790 ELLIS ST APT 24
CONCORD, CA 94520-2747
Phone number: 443-236-6919