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Individual
WANIDA SURICHAMORN
Active
Individual
WANIDA SURICHAMORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9494
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9494
OR
Other
Enumeration date
02/08/2012
Last updated
01/05/2016
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