Wasana J Phouangmalay, CST, CSFA
Wasana J Phouangmalay, CST, CSFA is a Surgical Assistant in Jonesboro, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
137 S AveJonesboro, GA 30236-4948
Phone: (404) 435-3216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X |
|---|
Record details
| NPI number | 1770332413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CST , CSFA |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
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