KRAIVIT ANGSUPANICH

LAKEPORT, CA
NPI1275630196
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: CA  A34208)
Enumeration Date2006-09-20
Last Update Date2008-09-17
Business Address
Dr. KRAIVIT ANGSUPANICH M.D.
801 11TH ST SUITE 1
LAKEPORT, CA 95453-4100
Phone number: 707-262-5568
Mailing Address
Dr. KRAIVIT ANGSUPANICH M.D.
801 11TH ST SUITE 1
LAKEPORT, CA 95453-4100
Phone number: 707-262-5568
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