MEDICARE: KANOKPORN DEL FRANCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	96782	CA

General Provider Information

NPI Number	:	1356174676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANOKPORN DEL FRANCO

Provider Business Mailing Address
First Line	:	32732 POINTE STIRLING APT G
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-3146
Country	:	US
Telephone Number	:	949-779-0857
Fax Number	:

Provider Business Practice Location Address
First Line	:	32732 POINTE STIRLING APT G
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-3146
Country	:	US
Telephone Number	:	949-779-0857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	08/27/2024

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Directions to “ KANOKPORN DEL FRANCO ” Practice Location

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