Apai Polyudhapoom

NPI 1093885915 - General Practice - 208D00000X

NPI Details
NPI 1093885915
Gender Male
Enumeration Date 11/08/2006
Last Updated 12/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4929 E KINGS CANYON RD
FRESNO CA, 93727-3812, US
Phone (559) 255-6476
Fax
Business Location
4929 E KINGS CANYON RD
FRESNO CA, 93727-3812, US
Phone (559) 255-6476
Fax
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number A48979
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According to our database, Apai Polyudhapoom NPI is 1093885915, taxonomy code is 208D00000X and license number is A48979, license state is located at California. Apai Polyudhapoom physically located at 4929 E Kings Canyon Rd, Fresno CA, 93727-3812. NPI Number Apai Polyudhapoom has the Individual type.

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1093885915 NPI number is provided on an as is basis without warranty of any kind. 1093885915 is maintained by the National Plan & Provider Enumeration System. The contents of Apai Polyudhapoom are for informational purposes only.