Search › Georgia › 246ZC0007X

Wasana Phouangmalay, CST, CSFA

NPI 1770332413 · on the registry since 2024 · sole proprietor

Practice

Address
137 South Ave
Jonesboro, GA 30236
Phone
(404) 435-3216

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Sex
Female
Record last updated
2024-05-15

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 Georgia