EKAWUT CHANKAEW

CHARLOTTESVILLE, VA
NPI1851508923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  0116018615)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- EKAWUT CHANKAEW MD
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-2047
Mailing Address
-- EKAWUT CHANKAEW MD
PO BOX 800778
CHARLOTTESVILLE, VA 22908-0778
Phone number: 434-924-8344
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