Individual
DR. THONGXAY SOUTHISENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1928 E SAHARA AVE, LAS VEGAS, NV 89104-3843
(702) 457-4727
Mailing address
6844 PHILIPPE ALLEN AVE, LAS VEGAS, NV 89110-5240
(702) 339-4537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C04-00296-J-094813
NV
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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