SYPHAY VONGKHAMCHANH

GREEN BAY, WI
NPI1598305393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  9535-33)
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
SYPHAY VONGKHAMCHANH CRNA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3605
Mailing Address
SYPHAY VONGKHAMCHANH CRNA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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