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DUANGTAVAN SOURIVONG

Methadone Clinic

NPI: 1285821389Organization

Specialties, Licenses & Credentials

Clinic/Center — Methadone

Code: 261QM2800X

Contact & Hours

Address
3940 HOME AVE
SAN DIEGO, CA 92105

Quick Facts

NPI
1285821389
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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