SANTISOUK SISAVATDY

BURIEN, WA
NPI1649745290
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-10
Last Update Date2018-10-17
Business Address
SANTISOUK SISAVATDY
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-933-7268
Mailing Address
SANTISOUK SISAVATDY
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number:
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