Individual
MRS. PHOUNG HABOON MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3721 36TH ST N, SAINT PETERSBURG, FL 33713-1415
(727) 501-6326
Mailing address
3721 36TH ST N, SAINT PETERSBURG, FL 33713-1415
(727) 501-6326
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
225100000X
FL
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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