Individual
MISS CHAWISA CHARTSUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WARREN ST BLDG 9, BRIGHTON, MA 02135-3601
(617) 254-0964
Mailing address
77 WARREN ST BLDG 9, BRIGHTON, MA 02135-3601
(617) 254-0964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
09/19/2010
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