Santisouk Sisavatdy
NPI #1649745290 in Burien, Washington
Provider Information
- NPI Number
- 1649745290
- Entity Type
- Individual
- Name
- Santisouk Sisavatdy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 10, 2018
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 1210 SW 136TH ST
- City
- Burien
- State
- Washington
- ZIP Code
- 98166-1214
- Phone
- (206) 933-7268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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