PANICHA KITTIPHA

LOMA LINDA, CA
NPI1801338157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95005491)
Enumeration Date2016-11-16
Last Update Date2016-11-16
Business Address
-- PANICHA KITTIPHA
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4475
Mailing Address
-- PANICHA KITTIPHA
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4475
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