KANOKWAN KULTAN

SAN DIEGO, CA
NPI1063028298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95015361)
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
KANOKWAN KULTAN
15850 BABCOCK ST
SAN DIEGO, CA 92127-3680
Phone number: 858-344-8536
Mailing Address
KANOKWAN KULTAN
15850 BABCOCK ST
SAN DIEGO, CA 92127-3680
Phone number: 858-344-8536
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