MR. Nuttachai Thanaethanapong

NPI #1366005266 in Canyon Country, California

Provider Information

NPI Number: 1366005266
Entity Type: Individual
Name: MR. Nuttachai Thanaethanapong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 16, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 19424 SOLEDAD CANYON RD
City: Canyon Country
State: California
ZIP Code: 91351-2631
Phone: (661) 251-5444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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