IndividualActive
Thanuttha Tiensawang, R.N.
NPI 1376703603 · Enterostomal Therapy Registered Nurse · Canoga Park, CA
Provider details
- NPI number
- 1376703603
- Entity type
- Individual
- Primary specialty
- Enterostomal Therapy Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 545790 (CA)
Practice location
21529 Saticoy St
Unit #106
Canoga Park, CA 91304-4958
Phone: (310) 478-3711
Mailing address
21529 Saticoy St
Canoga Park, CA 91304-4958
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.