SISAVATH DOUANGSAVANH

WORCESTER, MA
NPI1255755658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  RN243970)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RN38566)
Enumeration Date2014-02-06
Last Update Date2021-12-13
Business Address
SISAVATH DOUANGSAVANH CRNA
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-3271
Mailing Address
SISAVATH DOUANGSAVANH CRNA
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: