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Individual
DR. SRIVIMOL TANTAMJARIK
Active
Individual
DR. SRIVIMOL TANTAMJARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A31595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A31595
PHYSICIAN LICENSE
CA
Enumeration date
04/03/2006
Last updated
02/23/2023
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