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Poonchida Sukruttanavasin
NPI 1821767435 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5975 Terrapin Pl Unit 102
Alexandria, VA 22310 - Phone
- (571) 365-1579
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia