WASIN LUCKANAVANICH

LONG BEACH, CA
NPI1336898261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95001717)
Enumeration Date2022-03-19
Last Update Date2024-07-24
Business Address
WASIN LUCKANAVANICH DNP, CRNA
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-825-8000
Mailing Address
WASIN LUCKANAVANICH DNP, CRNA
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number: