Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THANUTTHA TIENSAWANG, R.N.
Active Sole ProprietorMR. THANUTTHA TIENSAWANG, R.N. is a Enterostomal Therapy Nurse healthcare provider located in CANOGA PARK, California. NPI 1376703603 is currently active in the NPPES registry. Verify at CMS.
Enterostomal Therapy Nurse · CANOGA PARK, CA
Registration Details
- NPI Number
- 1376703603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2008 (17.995177342282 yrs)
- Last Updated
- Jun 10, 2008
- License
-
545790 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21529 SATICOY STUNIT #106CANOGA PARK, CA, 913044958Browse CA providers · Browse ZIP 91304
- Phone
- 3104783711
- Primary Specialty
-
Enterostomal Therapy Nurse
163WE0900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.