Individual
TANYA PANICHPAKDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
357 CALLE MARSEILLE, LONG BEACH, CA 90814-3219
(562) 852-8510
Mailing address
357 CALLE MARSEILLE, LONG BEACH, CA 90814-3219
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E5013
CA
Other
Enumeration date
06/12/2009
Last updated
09/12/2014
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