JUTHAMAS KOSITSAWAT

LOMA LINDA, CA
NPI1104246016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  A139735)
Enumeration Date2014-04-17
Last Update Date2018-09-24
Business Address
JUTHAMAS KOSITSAWAT
11370 ANDERSON ST
LOMA LINDA, CA 92354
Phone number: 909-558-2806
Mailing Address
JUTHAMAS KOSITSAWAT
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number:
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