Individual
MR. PHASOUK DUSTIN SAYCHIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-1075
(310) 223-0361
Mailing address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-1075
(310) 223-0361
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
561660
CA
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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