PANUMAS SOUKAROON

ROSEVILLE, CA
NPI1962764290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  OT12643)
Enumeration Date2012-06-12
Last Update Date2020-03-11
Business Address
PANUMAS SOUKAROON OTR/L
GLENWOOD SPRINGS WAY
ROSEVILLE, CA 95747
Phone number: 916-752-0033
Mailing Address
PANUMAS SOUKAROON OTR/L
5080 GLENWOOD SPRINGS WAY
ROSEVILLE, CA 95747-9291
Phone number: 916-752-0033