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Elton Phoprom
NPI 1942822390 · on the registry since 2020
Practice
- Address
- 1520 Montebello Dr
Suisun City, CA 94585 - Phone
- (707) 863-2656
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-08
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