THAWAT EOSAKUL

FONTANA, CA
NPI1811904519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A32349)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- THAWAT EOSAKUL M.D.
16860 SEVILLE AVE
FONTANA, CA 92335-3561
Phone number: 909-350-3091
Mailing Address
-- THAWAT EOSAKUL M.D.
16860 SEVILLE AVE
FONTANA, CA 92335-3561
Phone number: 909-350-3091
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