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Suwanna Suethanuwong
Obstetrics & Gynecology Nurse Practitioner in Los Angeles, California
NPI 1538366091

Suwanna Suethanuwong is a Obstetrics & Gynecology Nurse Practitioner based in La Palma, CA and is specialized in Obstetrics & Gynecology. Suwanna Suethanuwong practices in Los Angeles, CA. The NPI Number for Suwanna Suethanuwong is 1538366091 and holds a License No. RN376217 (California).

The current practice location address for Suwanna Suethanuwong is 12021 Wilmington Ave, Los Angeles, CA and can be reached out via phone at 310-668-4506 and via fax at 310-763-8909.

Location: 12021 Wilmington Ave, Los Angeles, CA, 90623-1662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538366091
Provider Name
Suwanna Suethanuwong
Credential
Provider Entity Type
Individual
Gender
Female
Address
12021 Wilmington Ave, Los Angeles, CA, 90623-1662
Phone Number
310-668-4506
Fax Number
310-763-8909
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12021 Wilmington Ave
City
Los Angeles
State
California
Zip
90059-3019
Phone Number
310-668-4506
Fax Number
310-763-8909
person
Provider Business Mailing Address Details
Address
12021 Wilmington Ave
City
Los Angeles
State
California
Zip
90059-3019
Phone Number
310-668-4506
Fax Number
310-763-8909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
RN376217 (California)
Definition
Definition to come...
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