Praseuth Souvannavong
Praseuth Souvannavong is a Durable Medical Equipment & Medical Supplies in Santa Ana, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
2740 S Bristol St 218Santa Ana, CA 92704-6209
Phone: (714) 754-8200
Fax: (714) 754-8201
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1982928412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2010 |
| Last updated in NPPES | November 30, 2010 |
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