Individual
CHANYA SIRITHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95233050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN95233050
—
CA
Enumeration date
12/03/2021
Last updated
12/03/2021
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