KHAMPHOUCANH SOUTHISOMBATH

FEDERAL WAY, WA
NPI1114316734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60658344)
Enumeration Date2015-01-20
Last Update Date2025-07-17
Business Address
KHAMPHOUCANH SOUTHISOMBATH M.D.
32018 23RD AVE S
FEDERAL WAY, WA 98003-6022
Phone number: 206-520-5000
Mailing Address
KHAMPHOUCANH SOUTHISOMBATH M.D.
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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