MARK BOONYASAMPANT

FULLERTON, CA
NPI1396037537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA  A126158)
Enumeration Date2011-05-06
Last Update Date2022-07-21
Business Address
-- MARK BOONYASAMPANT M.D.
101 E VALENCIA MESA DR
FULLERTON, CA 92835-3809
Phone number: 510-388-7271
Mailing Address
-- MARK BOONYASAMPANT M.D.
101 E VALENCIA MESA DR
FULLERTON, CA 92835-3809
Phone number: 510-388-7271
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