VILAYVONE THIPSOUVAN

WEST JORDAN, UT
NPI1992131353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  65038721701)
Enumeration Date2013-09-17
Last Update Date2013-09-17
Business Address
-- VILAYVONE THIPSOUVAN
1442 W 9000 S
WEST JORDAN, UT 84088-9218
Phone number: 801-562-8978
Mailing Address
-- VILAYVONE THIPSOUVAN
1442 W 9000 S
WEST JORDAN, UT 84088-9218
Phone number: 801-562-8978