Individual
HACK KHOONSRIVONG XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4422 N PERSHING AVE STE D2, STOCKTON, CA 95207-6967
(209) 953-8843
Mailing address
4422 N PERSHING AVE STE D2, STOCKTON, CA 95207-6967
(209) 953-8843
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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