Search › California › 374J00000X
Supinda Sirihekaphong
NPI 1295454502 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6259 Adobe Rd # A-1
Twentynine Palms, CA 92277 - Phone
- (760) 206-6467
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 225700000X
- Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California