DARANI ASHLEY THAMMAVONGSA

ITHACA, NY
NPI1376411876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-10-27
Last Update Date2025-10-27
Business Address
DARANI ASHLEY THAMMAVONGSA
104 FAIR ST
ITHACA, NY 14850-5313
Phone number: 860-371-9906
Mailing Address
DARANI ASHLEY THAMMAVONGSA
104 FAIR ST
ITHACA, NY 14850-5313
Phone number: 860-371-9906
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