Individual
KITTIYA ARISARACHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 PROCTOR RD, CHELMSFORD, MA 01824-4316
(626) 233-1663
Mailing address
21 PROCTOR RD, CHELMSFORD, MA 01824-4316
(626) 233-1663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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