MR. Laisenia Sau

NPI #1679194971 in Willits, California

Provider Information

NPI Number: 1679194971
Entity Type: Individual
Name: MR. Laisenia Sau
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 28, 2020
Last Updated: Apr 28, 2020

Practice Location

Address: 180 E BARBARA LANE
City: Willits
State: California
ZIP Code: 95490
Phone: (707) 459-6397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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