Praseuth Souvannavong
NPI #1982928412 in Santa Ana, California
Provider Information
- NPI Number
- 1982928412
- Entity Type
- Individual
- Name
- Praseuth Souvannavong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 26, 2010
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 2740 S BRISTOL ST
- Address 2
- 218
- City
- Santa Ana
- State
- California
- ZIP Code
- 92704-6209
- Phone
- (714) 754-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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