TANA SENEEWONG

MODESTO, CA
NPI1447786587
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A164560)
Enumeration Date2017-05-10
Last Update Date2023-10-20
Business Address
TANA SENEEWONG
1400 FLORIDA AVE
MODESTO, CA 95350-4422
Phone number: 209-576-3528
Mailing Address
TANA SENEEWONG
158 WALKER RANCH PKWY
PATTERSON, CA 95363-8811
Phone number:
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