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Individual

LILIBETH SOUVANNARAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2320 KAYWOOD LN, WINSTON SALEM, NC 27103-4857
(336) 655-2762
Mailing address
2320 KAYWOOD LN, WINSTON SALEM, NC 27103-4857
(336) 655-2762

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
136140
NC

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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