AN THU THAI

PHILADELPHIA, PA
NPI1083895353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA052313)
Enumeration Date2007-11-15
Last Update Date2011-09-06
Business Address
-- AN THU THAI PAC
7600 CENTRAL AVE
PHILADELPHIA, PA 19111-2442
Phone number: 215-728-2169
Mailing Address
-- AN THU THAI PAC
PO BOX 425
LEDERACH, PA 19450-0425
Phone number: 800-528-0006
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