Individual
KOMSON POTIPITAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1241 STANFILL RD, PALMDALE, CA 93551-4468
(661) 878-6153
Mailing address
1241 STANFILL RD, PALMDALE, CA 93551-4468
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
24438
CA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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