SALY SISOUVONG

OAKLAND, CA
NPI1407040991
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A 99507)
Enumeration Date2007-08-28
Last Update Date2022-02-11
Business Address
-- SALY SISOUVONG M.D.
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-1000
Mailing Address
-- SALY SISOUVONG M.D.
495 TOWNSEND DR
BENICIA, CA 94510-3952
Phone number: 707-319-9460
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