Siriluck Boonsom
Siriluck Boonsom is a Registered Nurse in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
5980 W 71st St Ste 102Indianapolis, IN 46278-2711
Phone: (317) 388-0800
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Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 846583 (CA) |
|---|
Record details
| NPI number | 1982029450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2014 |
| Last updated in NPPES | February 20, 2014 |
| Mailing address | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 |
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