Individual
TAI WATSON TONKPHONTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 FORBES AVE, PITTSBURGH, PA 15213-3317
(412) 235-5444
Mailing address
143 ONEIDA ST APT 1, PITTSBURGH, PA 15211-1264
(304) 534-2382
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN743431
PA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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