Individual
DR. VANNA SOONTHON-BRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6235 N FRESNO ST, SUITE # 103, FRESNO, CA 93710-5269
(559) 449-4350
(559) 449-4358
Mailing address
6235 N FRESNO ST, SUITE # 103, FRESNO, CA 93710-5269
(559) 449-4350
(559) 449-4358
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
A56101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ71868Z
—
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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