PHATHSADY LOUANGXAY

PROVIDENCE, RI
NPI1174586671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: RI  00356)
Enumeration Date2006-04-07
Last Update Date2021-02-18
Business Address
Mr. PHATHSADY LOUANGXAY P.A.
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906-2853
Phone number: 401-793-4545
Mailing Address
Mr. PHATHSADY LOUANGXAY P.A.
PO BOX 16149
RUMFORD, RI 02916-0697
Phone number: 401-453-9625
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