KSENIA MARY VONGVIPHUT

VOORHEES, NJ
NPI1851824379
Former NameKSENIA ROGALO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-11
Last Update Date2023-08-11
Business Address
Mrs. KSENIA MARY VONGVIPHUT D.O.
2225 E EVESHAM RD
VOORHEES, NJ 08043-1557
Phone number: 856-795-4330
Mailing Address
Mrs. KSENIA MARY VONGVIPHUT D.O.
2225 E. EVESHAM RD
VOORHEES, NJ 08043
Phone number: 484-476-2000
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