SONEMALA PHOMMATHA

DENVER, CO
NPI1720108830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CO  PA.0002374)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CO  PA.0002374)
Enumeration Date2007-03-30
Last Update Date2025-08-20
Business Address
Miss SONEMALA PHOMMATHA PA-C
1721 E 19TH AVE STE 500
DENVER, CO 80218-1242
Phone number: 303-762-3472
Mailing Address
Miss SONEMALA PHOMMATHA PA-C
1721 E 19TH AVE STE 500
DENVER, CO 80218-1242
Phone number: 303-762-3472