Individual
DR. TANAPORN JASMINE WILAISAKDITIPAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 50TH ST, SACRAMENTO, CA 95817-2310
(917) 703-0300
Mailing address
2825 50TH ST, SACRAMENTO, CA 95817-2310
(917) 703-0300
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A180301
CA
Other
Enumeration date
03/30/2016
Last updated
08/30/2022
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