SONEXAY PHASOUVOR

FORT SMITH, AR
NPI1952705543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-10-10
Last Update Date2014-10-10
Business Address
-- SONEXAY PHASOUVOR MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
-- SONEXAY PHASOUVOR MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650