Individual
KITTAPORN JONGLERTJANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5929 E PIMA ST, TUCSON, AZ 85712-4353
(520) 222-9497
Mailing address
5929 E PIMA ST, TUCSON, AZ 85712-4353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT021067
PA
Other
Enumeration date
07/03/2021
Last updated
02/09/2026
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