Individual provider · Type 1 NPI

Thanuttha Tiensawang, R.N.

Enterostomal Therapy Registered Nurse · Canoga Park, CA

NPI number 1376703603 Active

Practice location

21529 Saticoy St, Unit #106
Canoga Park, CA 91304-4958

Specialties and licenses

TaxonomyCodeLicense
Enterostomal Therapy Registered Nurse Primary 163WE0900X545790 (CA)

Enterostomal Therapy Registered Nurse: Definition to come...

About NPI 1376703603

Thanuttha Tiensawang, R.N.'s National Provider Identifier is 1376703603, issued on Jun 10, 2008. The primary taxonomy on file is Enterostomal Therapy Registered Nurse (163WE0900X), and the practice location is in Canoga Park, CA. The record was last updated on Jun 10, 2008.