Individual
MR. VEASNA LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
4315 LAURISTON ST, PHILADELPHIA, PA 19128-4939
(727) 599-8961
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO3064
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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