PHOUKHAM SOUPHILAVONG

Personal Care Attendant

NPI: 1972426542Individual

Specialties, Licenses & Credentials

Personal Care AttendantPrimary

Technician — Personal Care Attendant

Code: 3747P1801X

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Contact & Hours

Address: 6301 MOUNTAIN VISTA ST STE 210
HENDERSON, NV 89014
Phone: (702) 855-3382

Quick Facts

NPI: 1972426542
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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