JENNYLAINE SOONTHONTHUM

GLENDALE, CA
NPI1740906809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: CA  95041589)
Enumeration Date2022-10-19
Last Update Date2022-10-19
Business Address
JENNYLAINE SOONTHONTHUM
1420 S CENTRAL AVE
GLENDALE, CA 91204-2508
Phone number: 818-507-4656
Mailing Address
JENNYLAINE SOONTHONTHUM
20534 CHERYL LN
SANTA CLARITA, CA 91350-5719
Phone number: 626-221-2147
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