Individual
SUMALEE MANEEMATCHA POONSAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 GATEWAY DR SE APT 726, LEESBURG, VA 20175-4040
(714) 589-0067
Mailing address
775 GATEWAY DR SE APT 726, LEESBURG, VA 20175-4040
(714) 589-0067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019950
VA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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