SOUTHONE SUE PHRATHANY

DES MOINES, IA
NPI1700326600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2017-02-27
Last Update Date2017-02-27
Business Address
-- SOUTHONE SUE PHRATHANY
2616 SE 18TH ST
DES MOINES, IA 50320-1205
Phone number: 515-868-7405
Mailing Address
-- SOUTHONE SUE PHRATHANY
2616 SE 18TH ST
DES MOINES, IA 50320-1205
Phone number: 515-868-7405