Individual
TANAPUN CHAIKULNGAMDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W 12TH ST STE A1-100, WAYNESBORO, VA 22980-4771
(434) 284-2262
Mailing address
1000 W MAIN ST APT 505, CHARLOTTESVILLE, VA 22903-6001
(434) 284-2262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000511
VA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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