SUZIE LYNN BANOUVONG

SIOUX FALLS, SD
NPI1154047603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: SD  1281)
Enumeration Date2022-10-17
Last Update Date2022-10-17
Business Address
SUZIE LYNN BANOUVONG rrt
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-312-9500
Mailing Address
SUZIE LYNN BANOUVONG rrt
5213 S SOLONO AVE
SIOUX FALLS, SD 57108-8348
Phone number: 602-501-4895