SHANNON WONGVIBULSIN

ORANGE, CA
NPI1144685447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A181956)
Enumeration Date2015-12-31
Last Update Date2026-07-01
Business Address
SHANNON WONGVIBULSIN
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-8888
Mailing Address
SHANNON WONGVIBULSIN
733 RUTLAND AVE.
BALTIMORE, MD 21205-2109
Phone number: 410-955-3080
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