CHANHSAMONE SYRAVANH

NEWARK, DE
NPI1376922799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: DE  C5-0000559)
Enumeration Date2015-05-19
Last Update Date2015-05-19
Business Address
-- CHANHSAMONE SYRAVANH PA
4745 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 1, SUITE 135, HOSMANE CARDIOLOGY
NEWARK, DE 19713-2067
Phone number: 302-292-3541
Mailing Address
-- CHANHSAMONE SYRAVANH PA
4745 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 1, SUITE 135, HOSMANE CARDIOLOGY
NEWARK, DE 19713-2067
Phone number: 302-292-3541
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