SENGPRASEUTH JOHNNY LUANGAPHAY

BOISE, ID
NPI1508514449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: ID  41733)
Enumeration Date2022-03-10
Last Update Date2022-03-10
Business Address
SENGPRASEUTH JOHNNY LUANGAPHAY RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
SENGPRASEUTH JOHNNY LUANGAPHAY RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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