URAIPUN JONGTHAVORN

SHERMAN OAKS, CA
NPI1871586438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  526476)
Enumeration Date2005-08-29
Last Update Date2016-07-21
Business Address
-- URAIPUN JONGTHAVORN NP
4835 VAN NUYS BLVD SUITE 200
SHERMAN OAKS, CA 91403-2139
Phone number: 818-380-2626
Mailing Address
-- URAIPUN JONGTHAVORN NP
8390 CHAMPIONS GATE BLVD SUITE 215
CHAMPIONS GATE, FL 33896-8310
Phone number: 407-390-1677
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