Individual
SOUTHONE SUE PHRATHANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 SE 18TH ST, DES MOINES, IA 50320-1205
(515) 868-7405
Mailing address
2616 SE 18TH ST, DES MOINES, IA 50320-1205
(515) 868-7405
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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