JONATHAN KITISAK POWELL

FAIRFIELD, CA
NPI1699462614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95317597)
Enumeration Date2023-04-19
Last Update Date2023-04-19
Business Address
JONATHAN KITISAK POWELL BSN, RN
470 CHADBOURNE RD STE A
FAIRFIELD, CA 94534-9620
Phone number: 707-419-8989
Mailing Address
JONATHAN KITISAK POWELL BSN, RN
304 STAMPER CIR
SUISUN CITY, CA 94585-4104
Phone number: 707-722-7553
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