Individual
MS. NARUMON HONGRATTANAVORAKIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-5190
Mailing address
1704 FORT JESSE RD, NORMAL, IL 61761-2213
(309) 454-2848
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
IL
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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