SOUTNAKHON PHANDANOUVONG

FORT SMITH, AR
NPI1780273250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  214525)
Enumeration Date2021-01-11
Last Update Date2025-06-05
Business Address
SOUTNAKHON PHANDANOUVONG APRN
4300 GRAND AVE
FORT SMITH, AR 72904-7028
Phone number: 479-208-4601
Mailing Address
SOUTNAKHON PHANDANOUVONG APRN
5728 KIBLER RD
VAN BUREN, AR 72956-7576
Phone number: 479-459-0046
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