Individual
SUZIE LYNN BANOUVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-9500
Mailing address
5213 S SOLONO AVE, SIOUX FALLS, SD 57108-8348
(602) 501-4895
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
1281
SD
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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