Samantha Makpaiboonvatana

NPI #1043703564 in San Bernardino, California

Provider Information

NPI Number: 1043703564
Entity Type: Individual
Name: Samantha Makpaiboonvatana
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jun 9, 2018
Last Updated: Jul 4, 2021

Practice Location

Address: 1909 N WATERMAN AVE STE 3
City: San Bernardino
State: California
ZIP Code: 92404
Phone: (909) 882-8883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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