Individual
VANIDA CHAIYARACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP,
Contact information
Practice address
4851 W GANDY BLVD LOT B03L29, TAMPA, FL 33611-6009
(863) 402-2208
Mailing address
4851 W GANDY BLVD LOT B03L29, TAMPA, FL 33611-6009
(863) 402-2208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2428
FL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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