Individual
OUAYPORN SAKOOLPAILOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY MEDICAL CENTER - APN DEPARTMENT, LOMA LINDA, CA 92354-2804
(909) 558-4341
(909) 558-0100
Mailing address
11234 ANDERSON STREET, (APN OFFICE), LOMA LINDA, CA 92354
(909) 558-4341
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
504373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504373
REGISTERED NURSE LICENSE
CA
Enumeration date
02/22/2007
Last updated
01/14/2011
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