NPI 1053763144
Sasipan Jetawatana
Practice location
- Address
- 18350 Roscoe Blvd, Northridge, CA 91325-4109
- Phone
- (818) 688-5772
- Mailing address
- 18350 Roscoe Blvd STE 102, Northridge, CA 91325-4193
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1053763144
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2016
- Record last updated
- 28 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.