Sasipan Jetawatana
NPI #1053763144 in Northridge, California
Provider Information
- NPI Number
- 1053763144
- Entity Type
- Individual
- Name
- Sasipan Jetawatana
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jul 12, 2016
- Last Updated
- Apr 28, 2022
Practice Location
- Address
- 18350 ROSCOE BLVD
- City
- Northridge
- State
- California
- ZIP Code
- 91325-4109
- Phone
- (818) 688-5772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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