| Tyda Saroeung Rom Keo, LPN | |
|
401 Highland Ave, Somerville, MA 02144-2516 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Tyda Saroeung Rom Keo |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 401 Highland Ave, Somerville, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245052265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN100116 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyda Saroeung Rom Keo, LPN 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: () - | Tyda Saroeung Rom Keo, LPN 401 Highland Ave, Somerville, MA 02144-2516 Ph: (833) 510-4357 |
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