SOPHAVY SUON VERMILLION

LOS ANGELES, CA
NPI1942738943
Former NameSOPHAVY SUON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  54512)
Enumeration Date2017-06-02
Last Update Date2024-01-10
Business Address
SOPHAVY SUON VERMILLION PA-C
3650 SUNSET BLVD #69
LOS ANGELES, CA 90027
Phone number: 323-361-7651
Mailing Address
SOPHAVY SUON VERMILLION PA-C
3650 SUNSET BLVD #69
LOS ANGELES, CA 90027
Phone number: 323-361-7651
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