SCARLETTE PHOMMATHEP

LAKE CITY, FL
NPI1215621016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
SCARLETTE PHOMMATHEP
229 SW MAIN BLVD
LAKE CITY, FL 32025-7049
Phone number: 386-515-3009
Mailing Address
SCARLETTE PHOMMATHEP
250 NW 76TH DR
GAINESVILLE, FL 32607-6668
Phone number: 352-505-6363
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