Bounyaveth Phachomphon
Bounyaveth Phachomphon is a Chore Provider in South Sioux City, Nebraska. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
320 Broadmoor DrSouth Sioux City, NE 68776-3806
Phone: (402) 508-0009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chore Provider (primary) | Taxonomy 372500000X |
|---|
Record details
| NPI number | 1477413011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2025 |
| Last updated in NPPES | November 17, 2025 |
| Certification date | November 16, 2025 |
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