Individual
WASSAMON VIRIYAKITJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LAKESHORE DR, MCWHORTER SCHOOL OF PHARMACY, BIRMINGHAM, AL 35229-0001
(205) 726-2011
Mailing address
3350 ALTAMONT RD S, APT. D7, BIRMINGHAM, AL 35205-2191
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10654
AL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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