Malisa Komolthiti's National Provider Identifier (NPI) Details
Malisa Komolthiti,
NPI: 1598394009
Enumeration Date: 2020-04-06
Last updated: 2023-10-12
Sole Proprietor: YES
Status: active
Postal Address: 3865 GOLDEN MEADOW CT, AMELIA, OH
Phone: 562-265-8222
Primary Practice Address: 3865 GOLDEN MEADOW CT, AMELIA, OH
Practice's phone: 562-265-8222