THIRAT CHAKAVANMONGKOL

NORTH HOLLYWOOD, CA
NPI1265188221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95020085)
Enumeration Date2022-02-28
Last Update Date2022-02-28
Business Address
THIRAT CHAKAVANMONGKOL
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606-3206
Phone number: 818-299-5500
Mailing Address
THIRAT CHAKAVANMONGKOL
7418 VANTAGE AVE
NORTH HOLLYWOOD, CA 91605-3609
Phone number: 818-653-0176
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