KHAMPASONG HALEUDETH

MEDFORD, MA
NPI1992475081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  25676)
Enumeration Date2021-09-20
Last Update Date2021-09-20
Business Address
KHAMPASONG HALEUDETH
275 MYSTIC AVE STE C
MEDFORD, MA 02155-6301
Phone number: 781-874-9294
Mailing Address
KHAMPASONG HALEUDETH
275 MYSTIC AVE STE C
MEDFORD, MA 02155-6301
Phone number:
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