Soupha Chanthinouvong
Soupha Chanthinouvong is an Other Technician in Ann Arbor, Michigan. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
812 Avis DrAnn Arbor, MI 48108-9649
Phone: (734) 213-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1447671078 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 27, 2013 |
| Last updated in NPPES | December 27, 2013 |
| Mailing address | 2223 Los Feliz Dr Apt 102, Thousand Oaks, CA 91362-3090 |
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