Irada Wattanavitukul
Irada Wattanavitukul is a Student in an Organized Health Care Education/Training Program in Sherman Oaks, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
13130 Burbank BlvdSherman Oaks, CA 91401-6037
Phone: (818) 781-0360
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1972022259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2017 |
| Last updated in NPPES | June 11, 2019 |
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