Individual
NATSUDA NAKSUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1864 CENTRE ST STE 3, WEST ROXBURY, MA 02132-1919
(617) 615-2292
Mailing address
1864 CENTRE ST STE 3, WEST ROXBURY, MA 02132-1919
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
1958
MA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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