BOUNLATH SOUKSAVONG, PA

PA

Medical Physician Assistant

NPI: 1326021171Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA12844(CA)

Contact & Hours

Address: 847 W CHILDS AVE
MERCED, CA 95341
Phone: (209) 383-7441

Quick Facts

NPI: 1326021171
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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