CHARMELENE CHANTHABOUASITH

Physician Assistant

NPI: 1750751772Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA9108932(FL)

Contact & Hours

Address: 4278 W LINEBAUGH AVE
TAMPA, FL 33624
Phone: (813) 977-0733

Quick Facts

NPI: 1750751772
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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