Phoukham Souphilavong
Phoukham Souphilavong is a Personal Care Attendant in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
6301 Mountain Vista St Ste 210Henderson, NV 89014-2364
Phone: (702) 855-3382
Fax: (702) 855-3384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1972426542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2026 |
| Last updated in NPPES | July 31, 2026 |
| Certification date | July 31, 2026 |
| Mailing address | 6301 Mountain Vista St Ste 210, Henderson, NV 89014-2364 |
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