Individual
BOONSIRI JUNSIRIMONGKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 ESSEX ST SE APT 312, MINNEAPOLIS, MN 55414-3066
(804) 517-3210
Mailing address
1015 ESSEX STREET #312, MINNEAPOLIS, MN 55414
(804) 517-3210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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