Khantalee Souvannavong
Khantalee Souvannavong is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
185 Country LnRochester, NY 14626-3307
Phone: (585) 749-0292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 286904-1 (NY) |
|---|
Record details
| NPI number | 1487042560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 25, 2014 |
| Last updated in NPPES | December 25, 2014 |
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