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KASALYN THUVAMONTOLRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
625 S FAIR OAKS AVE, SUITE 325, PASADENA, CA 91105-2613
(626) 535-9344
(626) 535-9387
Mailing address
625 S FAIR OAKS AVE, SUITE 325, PASADENA, CA 91105-2613
(626) 535-9344
(626) 535-9387

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95005101
CA

Other

Enumeration date
01/23/2017
Last updated
01/23/2017
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