Individual
MRS. PATRICIA O'HEARN SOONTHORNPRAPUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
20 SLAVIN DR, PELHAM, NH 03076-3278
(603) 953-3573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
568
MA
363AS0400X
Surgical Physician Assistant
Primary
568
MA
Other
Enumeration date
08/31/2006
Last updated
08/02/2012
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