Vilayvone Thipsouvan

NPI #1992131353 in West Jordan, Utah

Provider Information

NPI Number: 1992131353
Entity Type: Individual
Name: Vilayvone Thipsouvan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 17, 2013
Last Updated: Sep 17, 2013

Practice Location

Address: 1442 W 9000 S
City: West Jordan
State: Utah
ZIP Code: 84088-9218
Phone: (801) 562-8978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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