Individual
BUTSARAKORN SORNWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 BELMONT ST, BELMONT, MA 02478-4401
(617) 484-3400
Mailing address
693 BELMONT ST, BELMONT, MA 02478-4401
(617) 484-3400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7740
MA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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