SOURIHNA KHOUNPHICHANE

SHERMAN OAKS, CA
NPI1427641513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95014199)
Enumeration Date2021-02-19
Last Update Date2021-02-19
Business Address
SOURIHNA KHOUNPHICHANE
4912 KESTER AVE APT 106
SHERMAN OAKS, CA 91403-1690
Phone number: 847-271-3145
Mailing Address
SOURIHNA KHOUNPHICHANE
4912 KESTER AVE APT 106
SHERMAN OAKS, CA 91403-1690
Phone number: 847-271-3145
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