PENPORN VONGSVIVUT RECK

LACEY, WA
NPI1811919871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: WA  MD00049407)
Enumeration Date2006-07-25
Last Update Date2011-11-17
Business Address
Dr. PENPORN VONGSVIVUT RECK MD
345 COLLEGE ST SE SUITE C
LACEY, WA 98503-1014
Phone number: 360-456-3200
Mailing Address
Dr. PENPORN VONGSVIVUT RECK MD
345 COLLEGE ST SE SUITE C
LACEY, WA 98503-1014
Phone number: 360-456-3200
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