Individual
PAIBOON PLOOKVONGPANIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 92404-3803
(909) 881-1614
(909) 881-2711
Mailing address
401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 92404-3803
(909) 881-1614
(909) 881-2711
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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