BOUNLATH SOUKSAVONG, PA
Physician Assistant - Medical
Active
Individual
NPI: 1326021171
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA12844 (CA) |
Frequently Asked Questions
NPI 1326021171 is the National Provider Identifier for BOUNLATH SOUKSAVONG, PA, a Physician Assistant - Medical provider located in Merced, CA. This NPI was enumerated on November 25, 2005.
BOUNLATH SOUKSAVONG, PA practices at 847 W CHILDS AVE, Merced, CA 95341.
Quick Facts
- NPI
- 1326021171
- Type
- Individual
- Enumerated
- Nov 25, 2005
- Last Updated
- Mar 7, 2023
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MRS. TIARA MUNOZ
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SANG HYUK PARK, D.D.S.
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