Individual
PHONSAVAHN SENESOMBATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2626
Mailing address
751 MAIN ST, SOUTH PORTLAND, ME 04106-5442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR72129
ME
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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