Individual
SOPHANY KHUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W TOKAY ST, LODI, CA 95240-3810
(209) 334-0830
Mailing address
1200 W TOKAY ST, LODI, CA 95240-3810
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1800
CA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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