PHOUTTHASONE THIRAKUL

BRADENTON, FL
NPI1760800460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA  A125018)
Enumeration Date2014-04-01
Last Update Date2026-05-26
Business Address
PHOUTTHASONE THIRAKUL
3325 49TH AVE E
BRADENTON, FL 34203-3945
Phone number: 323-839-7364
Mailing Address
PHOUTTHASONE THIRAKUL
3325 49TH AVE E
BRADENTON, FL 34203-3945
Phone number: 323-839-7364
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