TANYA AM NANONGKHAI

ORANGEBURG, SC
NPI1033748967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: SC  90003)
Additional Taxonomies208000000X Pediatrics
(Licence: WA  MD61446233)
Enumeration Date2020-04-02
Last Update Date2023-08-14
Business Address
TANYA AM NANONGKHAI
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1468
Phone number: 803-531-6900
Mailing Address
TANYA AM NANONGKHAI
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900