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Pricha Phattiyakul

Debarred entity
TypePerson[sources]
NamePricha Phattiyakul[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: D17730[sources]
First namePricha[sources]
Last namePhattiyakul[sources]
SectorMD[sources]
Address100 Hospital Road, Calvert Memorial, Prince Frederick MD 20678[sources]
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Data sources

US Maryland Sanctioned Providers1,576

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States · MDH


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