PISETH SUOR

STOCKTON, CA
NPI1699054809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  17756)
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
-- PISETH SUOR PA
4873 WEST LN STE A
STOCKTON, CA 95210-4548
Phone number: 209-472-1515
Mailing Address
-- PISETH SUOR PA
4873 WEST LN STE A
STOCKTON, CA 95210-4548
Phone number: 209-472-1515
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