Individual
SOUKSAKHONE SENGSAISOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 COLLEGE DRIVE, DECORAH, IA 52101
(563) 419-8148
Mailing address
700 COLLEGE DRIVE, DECORAH, IA 52101
(563) 419-8148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NA
MN
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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