Chheng Ly

NPI #1235738204 in Bradenton, Florida

Provider Information

NPI Number
1235738204
Entity Type
Individual
Name
Chheng Ly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Oct 21, 2020
Last Updated
Jan 20, 2023

Practice Location

Address
5309 E STATE ROAD 64
State
Florida
ZIP Code
34208-5534
Phone
(941) 747-9818

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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