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Individual
MRS. KHAMSY SIHARATH
Active
Individual
MRS. KHAMSY SIHARATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.#545152
CA
310400000X
Assisted Living Facility
374601975
CA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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