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Pornsuda Dokthonghom
NPI 1770245342 · on the registry since 2021 · sole proprietor
Practice
- Address
- 13456 Washington Blvd
Marina Del Rey, CA 90292 - Phone
- (916) 847-9429
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California