ITTHIPOALN RASASACK

LOUISVILLE, KY
NPI1154119220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-29
Last Update Date2025-04-29
Business Address
ITTHIPOALN RASASACK MD
550 S JACKSON ST FL 3
LOUISVILLE, KY 40202-1622
Phone number: 502-852-5666
Mailing Address
ITTHIPOALN RASASACK MD
550 S JACKSON ST FL 3
LOUISVILLE, KY 40202-1622
Phone number: 502-852-5666
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