Individual
JIRAPAN KUMLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
438 WEST LAS TUNAS DR, SAN GABRIEL VALLEY MED CTR, SAN GABRIEL, CA 91776
(626) 570-6587
Mailing address
13808 HAWES ST, WHITTIER, CA 90605
(562) 587-9773
(562) 587-9773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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