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Individual

MRS. ALELI RAMISCAL LAMYAITHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000793
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001711895
BCBS
WV
05
7302248-000
WV
Enumeration date
01/29/2007
Last updated
06/07/2010
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