Individual
JHITLADA KELLY SAENGSOMPHOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 PATTERSON ST, CHINA GROVE, NC 28023-6796
(704) 298-3664
Mailing address
1760 PATTERSON ST, CHINA GROVE, NC 28023-6796
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X-STUDENT
NC
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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